702 SOUTH KINGS AVENUE OPERATIONS LLC
NPI: 1821367608
· BRANDON, FL 33511
· 314000000X
$139K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,207 |
$34K |
| 2019 |
2,347 |
$42K |
| 2020 |
1,264 |
$12K |
| 2021 |
3,188 |
$21K |
| 2022 |
995 |
$29K |
| 2023 |
76 |
$90.22 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
4,699 |
484 |
$75K |
| 97530 |
|
3,266 |
326 |
$51K |
| 92526 |
|
329 |
28 |
$7K |
| G8987 |
Self care current status |
58 |
24 |
$2K |
| G8988 |
Self care goal status |
67 |
25 |
$2K |
| 97162 |
|
46 |
25 |
$514.80 |
| 92610 |
|
47 |
18 |
$435.35 |
| 97116 |
|
104 |
12 |
$229.98 |
| 0003A |
|
21 |
12 |
$77.76 |
| 0013A |
|
38 |
25 |
$77.76 |
| 90688 |
|
46 |
28 |
$9.49 |
| G0008 |
Admin influenza virus vac |
138 |
100 |
$0.00 |
| 97535 |
|
111 |
24 |
$0.00 |
| 90662 |
|
107 |
75 |
$0.00 |