Medicaid Provider Spending

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

PRIMARY MEDICAL CARE R AYALA MD PA

NPI: 1790799526 · DADE CITY, FL 33525 · Multi-Specialty Clinic/Center · NPI assigned 07/28/2006

$152K
Total Medicaid Paid
13,546
Total Claims
10,823
Beneficiaries
19
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialCOMFORT-MARSH, BOBBIE (OFFICE MANAGER/ADMINISTRATOR)
Parent OrganizationPRIMARY MEDICAL CARE R AYALA MD PA
NPI Enumeration Date07/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,084 $6K
2019 3,766 $60K
2020 3,169 $38K
2021 2,784 $30K
2022 1,743 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,522 3,003 $96K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,078 2,485 $50K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 65 62 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33 28 $646.61
99406 71 64 $121.34
80305 39 30 $97.14
99401 583 541 $28.58
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 15 12 $0.00
1125F 879 696 $0.00
1126F 614 465 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 456 305 $0.00
3044F 91 70 $0.00
1170F 2,247 1,705 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 69 56 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 15 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,286 976 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 430 275 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 16 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 37 26 $0.00