Medicaid Provider Spending

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

MYRTLE RIDGE PRIMARY CARE, P.A

NPI: 1700553633 · LUTZ, FL 33548 · Community Health Clinic/Center · NPI assigned 08/27/2021

$425K
Total Medicaid Paid
7,125
Total Claims
2,220
Beneficiaries
10
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOGENA, YUDAISY (OFFICE MANAGER)
NPI Enumeration Date08/27/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 96 $7K
2023 3,108 $127K
2024 3,921 $292K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 4,990 1,340 $310K
H2017 Psychosocial rehabilitation services, per 15 minutes 868 86 $61K
T1015 Clinic visit/encounter, all-inclusive 268 237 $18K
H2000 Comprehensive multidisciplinary evaluation 132 67 $13K
H0032 Mental health service plan development by non-physician 176 168 $11K
H0031 Mental health assessment, by non-physician 429 254 $8K
T1017 Targeted case management, each 15 minutes 74 25 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 15 $121.95
H2030 Mental health clubhouse services, per 15 minutes 156 12 $0.00
90836 16 16 $0.00