Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Rural Health Care Incorporated

Rural Health Care Incorporated was paid $1.59M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoRURAL HEALTH CARE INCORPORATED
PALM COAST, FL 32137
33aNPI1780064808assigned 06/03/2015
28Total paid$1.59M
24GClaims156,013
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Florida

Rank by total paid#33 of 293
Median peer was paid$114K
This provider vs. median14×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018510$3K
201917,867$261K
202023,348$245K
202132,268$306K
202232,549$330K
202327,954$242K
2024incomplete21,517$203K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83% 26,077 20,802 $1.31M
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 11% 2,502 2,241 $178K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.0% 714 686 $47K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 240 86 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 87 84 $7K
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% 1,762 1,075 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 55 55 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 29 29 $3K
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% 43 39 $3K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 52 28 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 569 176 $3K
99442 <1% 93 75 $3K
35 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 54 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 26 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 173 $1K
81002 <1% 2,222 $707.02
99173 <1% 983 $468.47
83036 Hemoglobin; glycosylated (A1C) <1% 544 $311.29
36415 Collection of venous blood by venipuncture <1% 3,239 $259.22
81025 <1% 646 $246.80
1126F <1% 10,120 $200.92
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 267 $160.85
85018 <1% 915 $159.94
1125F <1% 3,848 $113.31
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 144 $89.38
1159F <1% 13,318 $78.53
36416 <1% 1,490 $72.46
90686 <1% 30 $49.00
90472 Immunization administration, each additional vaccine (list separately) <1% 17 $40.00
3075F <1% 1,676 $32.63
3044F <1% 2,524 $28.73
1036F <1% 16,054 $25.25
93000 <1% 32 $23.94
3074F <1% 8,863 $12.83
3016F <1% 2,040 $12.65
3288F <1% 3,871 $12.65
3078F <1% 8,206 $12.64
1000F <1% 17,475 $12.62
3079F <1% 2,532 $12.62
3077F <1% 807 $0.07
1034F <1% 2,719 $0.02
1158F <1% 837 $0.02
92551 0% 66 $0.00
1220F 0% 16,464 $0.00
3080F 0% 272 $0.00
1111F 0% 364 $0.00
1160F 0% 952 $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 (PRESIDENT/CEO)
Same official

Other billing entities under SPENCER, LAURA

Full network →
ProviderLocationPaid
Rural Health Care IncorporatedPalatka, FL$1.96M
Rural Health Care, IncorporatedSt Augustine, FL$1.26M
Rural Health Care IncorporatedCrescent City, FL$1.09M
Rural Health Care, INC.Palatka, FL$1.08M
Rural Health Care, INC.Gainesville, FL$1.04M
Rural Health Care IncorporatedGreen Cove Springs, FL$651K
Rural Health Care IncorporatedKeystone Heights, FL$633K
Rural Health Care IncorporatedInterlachen, FL$631K
Rural Health Care IncorporatedHawthorne, FL$582K
Rural Health Care, INC.Daytona Beach, FL$475K
Rural Health Care INCDaytona Beach, FL$304K
Rural Health Care IncorporatedWelaka, FL$289K
Rural Health Care INC.St Augustine, FL$259K
Rural Health Care, IncorporatedHastings, FL$207K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.