Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MYRTLE RIDGE PRIMARY CARE, P.A

NPI: 1619504354 · LUTZ, FL 33548 · Mental Health Counselor · NPI assigned 03/24/2020

$832K
Total Medicaid Paid
9,930
Total Claims
2,220
Beneficiaries
19
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOGENA PADRON, YUDAISY (OWNER)
NPI Enumeration Date03/24/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 143 $16K
2021 4,047 $419K
2022 2,944 $288K
2023 1,996 $109K
2024 800 $743.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 4,461 325 $458K
H2019 Therapeutic behavioral services, per 15 minutes 2,964 262 $328K
H2030 Mental health clubhouse services, per 15 minutes 405 41 $26K
T1017 Targeted case management, each 15 minutes 259 40 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 181 156 $4K
H0031 Mental health assessment, by non-physician 34 14 $552.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $480.95
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $427.40
H0032 Mental health service plan development by non-physician 18 18 $402.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 12 $154.88
1159F 479 394 $0.00
1160F 481 396 $0.00
3288F 26 25 $0.00
3008F 373 320 $0.00
1126F 104 91 $0.00
36415 Collection of venous blood by venipuncture 24 24 $0.00
1220F 42 39 $0.00
1170F 26 25 $0.00
99000 12 12 $0.00