Medicaid Provider Spending

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

HOMETOWN PEDIATRICS LLC

NPI: 1720531650 · THE VILLAGES, FL 32159 · Pediatrics Physician · NPI assigned 07/27/2016

$9K
Total Medicaid Paid
207
Total Claims
194
Beneficiaries
4
Codes Billed
2019-02
First Month
2019-02
Last Month

Provider Details

Authorized OfficialMENICHINO, THOMAS (CEO OF MANAGING COMPANY)
NPI Enumeration Date07/27/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 207 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92 83 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26 23 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 23 23 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 66 65 $628.00