Clinic
Rural Health Care, Incorporated
Rural Health Care, Incorporated was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoRURAL HEALTH CARE, INCORPORATED
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
33aNPI1629324751assigned 07/26/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.26M
24GClaims112,831
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#43 of 293
Median peer was paid$114K
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SPENCER, LAURA controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,700 | $11K | |
| 2019 | 15,358 | $182K | |
| 2020 | 17,467 | $163K | |
| 2021 | 22,986 | $268K | |
| 2022 | 18,340 | $223K | |
| 2023 | 21,516 | $234K | |
| 2024incomplete | 15,464 | $177K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 13,757 | 11,593 | $646K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 42% | 10,090 | 8,583 | $528K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.4% | 542 | 267 | $31K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.4% | 406 | 157 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 208 | 198 | $13K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 3,172 | 1,582 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 54 | 54 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 30 | $1K |
| 0031A | <1% | 42 | 37 | $1K | |
| 0011A | <1% | 18 | 15 | $600.00 | |
| 1159F | <1% | 9,962 | 8,689 | $130.25 | |
| 81002 | <1% | 402 | 386 | $112.83 |
22 more codes
| 3016F | <1% | 5,715 | $71.17 | |
| 1126F | <1% | 6,374 | $62.87 | |
| 1158F | <1% | 502 | $56.77 | |
| 3288F | <1% | 2,044 | $28.52 | |
| 81025 | <1% | 39 | $22.14 | |
| 85018 | <1% | 102 | $14.74 | |
| 1000F | <1% | 14,227 | $14.33 | |
| 1036F | <1% | 11,240 | $14.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,027 | $5.62 |
| 3074F | <1% | 5,898 | $2.18 | |
| 3044F | <1% | 252 | $0.49 | |
| 1125F | <1% | 2,794 | $0.19 | |
| 1220F | <1% | 13,622 | $0.11 | |
| 1034F | <1% | 2,239 | $0.04 | |
| 3078F | <1% | 4,960 | $0.03 | |
| 3075F | <1% | 613 | $0.02 | |
| 3079F | <1% | 1,913 | $0.01 | |
| 3077F | 0% | 240 | $0.00 | |
| 99173 | 0% | 19 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 45 | $0.00 |
| 36416 | 0% | 175 | $0.00 | |
| 3080F | 0% | 108 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSPENCER, LAURA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Rural Health Care Incorporated | Palatka, FL | $1.96M |
| Rural Health Care Incorporated | Palm Coast, FL | $1.59M |
| Rural Health Care Incorporated | Crescent City, FL | $1.09M |
| Rural Health Care, INC. | Palatka, FL | $1.08M |
| Rural Health Care, INC. | Gainesville, FL | $1.04M |
| Rural Health Care Incorporated | Green Cove Springs, FL | $651K |
| Rural Health Care Incorporated | Keystone Heights, FL | $633K |
| Rural Health Care Incorporated | Interlachen, FL | $631K |
| Rural Health Care Incorporated | Hawthorne, FL | $582K |
| Rural Health Care, INC. | Daytona Beach, FL | $475K |
| Rural Health Care INC | Daytona Beach, FL | $304K |
| Rural Health Care Incorporated | Welaka, FL | $289K |
| Rural Health Care INC. | St Augustine, FL | $259K |
| Rural Health Care, Incorporated | Hastings, FL | $207K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.