MYRTLE RIDGE PRIMARY CARE, P.A
NPI: 1700553633
· LUTZ, FL 33548
· 261QC1500X
$425K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
96 |
$7K |
| 2023 |
3,108 |
$127K |
| 2024 |
3,921 |
$292K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Ther behav svc, per 15 min |
4,990 |
1,340 |
$310K |
| H2017 |
Psysoc rehab svc, per 15 min |
868 |
86 |
$61K |
| T1015 |
Clinic service |
268 |
237 |
$18K |
| H2000 |
Comp multidisipln evaluation |
132 |
67 |
$13K |
| H0032 |
Mh svc plan dev by non-md |
176 |
168 |
$11K |
| H0031 |
Mh health assess by non-md |
429 |
254 |
$8K |
| T1017 |
Targeted case management |
74 |
25 |
$4K |
| 99204 |
|
16 |
15 |
$121.95 |
| H2030 |
Mh clubhouse svc, per 15 min |
156 |
12 |
$0.00 |
| 90836 |
|
16 |
16 |
$0.00 |