MYRTLE RIDGE PRIMARY CARE, P.A
NPI: 1619504354
· LUTZ, FL 33548
· 101YM0800X
$832K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
143 |
$16K |
| 2021 |
4,047 |
$419K |
| 2022 |
2,944 |
$288K |
| 2023 |
1,996 |
$109K |
| 2024 |
800 |
$743.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
4,461 |
325 |
$458K |
| H2019 |
Ther behav svc, per 15 min |
2,964 |
262 |
$328K |
| H2030 |
Mh clubhouse svc, per 15 min |
405 |
41 |
$26K |
| T1017 |
Targeted case management |
259 |
40 |
$14K |
| 99213 |
|
181 |
156 |
$4K |
| H0031 |
Mh health assess by non-md |
34 |
14 |
$552.00 |
| 99203 |
|
13 |
12 |
$480.95 |
| 99214 |
|
15 |
14 |
$427.40 |
| H0032 |
Mh svc plan dev by non-md |
18 |
18 |
$402.50 |
| 99211 |
|
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 |
|
24 |
24 |
$0.00 |
| 1220F |
|
42 |
39 |
$0.00 |
| 1170F |
|
26 |
25 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |