4641 OLD CANOE CREEK ROAD OPERATIONS LLC
NPI: 1528337276
· SAINT CLOUD, FL 34769
· 314000000X
$1.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,528 |
$100K |
| 2019 |
10,350 |
$126K |
| 2020 |
15,894 |
$707K |
| 2021 |
7,776 |
$186K |
| 2022 |
703 |
$6K |
| 2023 |
262 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
18,330 |
904 |
$452K |
| 97110 |
|
9,663 |
732 |
$305K |
| 97535 |
|
4,794 |
412 |
$171K |
| 97116 |
|
4,136 |
290 |
$98K |
| 92507 |
|
811 |
55 |
$69K |
| 97112 |
|
373 |
29 |
$31K |
| G8987 |
Self care current status |
39 |
25 |
$1K |
| G8988 |
Self care goal status |
126 |
53 |
$399.88 |
| 97165 |
|
23 |
13 |
$146.30 |
| 90688 |
|
63 |
45 |
$0.00 |
| G0008 |
Admin influenza virus vac |
109 |
89 |
$0.00 |
| 90662 |
|
46 |
38 |
$0.00 |