Medicaid Provider Spending

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

WE CARE FAMILY PHYSICIANS LLC

NPI: 1730777053 · WINTER HAVEN, FL 33880 · Multi-Specialty Clinic/Center · NPI assigned 01/03/2021

$110K
Total Medicaid Paid
15,107
Total Claims
11,243
Beneficiaries
39
Codes Billed
2022-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVARGAS RIVERA, RAUL (MD)
NPI Enumeration Date01/03/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 5,990 $27K
2023 5,959 $66K
2024 3,158 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,200 924 $59K
99215 Prolong outpt/office vis 452 348 $29K
99358 Prolong nursin fac eval 15m 543 460 $7K
99407 473 375 $6K
99401 167 137 $3K
99205 Prolong outpt/office vis 13 13 $1K
99417 Prolong home eval add 15m 60 49 $1K
99415 Prolong outpt/office vis 269 207 $1K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 187 155 $1K
3074F 838 704 $654.26
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 799 547 $408.06
99457 36 25 $338.22
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $286.34
99408 996 657 $219.14
3075F 187 159 $78.43
96127 358 307 $65.00
G0444 Annual depression screening, 5 to 15 minutes 141 114 $50.00
99072 1,054 640 $0.00
3078F 1,343 957 $0.00
4004F 19 12 $0.00
3725F 146 115 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 78 65 $0.00
1159F 466 403 $0.00
1160F 369 326 $0.00
4013F 289 190 $0.00
0521F 77 72 $0.00
1126F 326 293 $0.00
3008F 1,771 1,209 $0.00
3048F 210 142 $0.00
3079F 93 72 $0.00
97535 Self-care/home management training, each 15 minutes 140 113 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 182 126 $0.00
1036F 1,288 893 $0.00
3049F 86 69 $0.00
1125F 73 68 $0.00
96156 136 119 $0.00
97802 21 14 $0.00
3120F 74 60 $0.00
4010F 135 92 $0.00