Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ST PETERSBURG › PROFESSIONAL HEALTH CARE OF PINELLAS LLC

PROFESSIONAL HEALTH CARE OF PINELLAS LLC

NPI: 1881647253 · ST PETERSBURG, FL 33713 · Psychiatry Physician · NPI assigned 05/18/2006

$11.79M
Total Medicaid Paid
1,461,390
Total Claims
827,791
Beneficiaries
124
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPOULIN, CLAUDIA (CREDENTIALING SPECIALIST)
NPI Enumeration Date05/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,187 $128K
2019 166,762 $1.58M
2020 190,380 $1.52M
2021 217,973 $2.15M
2022 311,499 $3.21M
2023 324,013 $2.03M
2024 209,576 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 146,169 36,425 $2.96M
99223 Prolong inpt eval add15 m 32,889 24,707 $1.95M
99309 Subsequent nursing facility care, per day, low to moderate complexity 143,951 76,422 $1.72M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 43,869 29,732 $1.28M
99308 Subsequent nursing facility care, per day, straightforward 105,903 55,764 $941K
99220 7,320 5,275 $477K
99239 Hospital discharge day management, more than 30 minutes 13,985 10,327 $399K
99233 Prolong inpt eval add15 m 10,522 5,031 $391K
99306 Prolong nursin fac eval 15m 7,641 5,376 $239K
99336 15,280 7,460 $205K
99238 Hospital discharge day management, 30 minutes or less 7,300 5,680 $121K
99217 4,280 3,328 $115K
99349 7,506 4,307 $113K
99335 14,842 7,865 $111K
99222 Initial hospital care, per day, moderate complexity 2,945 2,235 $106K
99348 9,794 5,073 $102K
99231 Subsequent hospital care, per day, straightforward or low complexity 12,644 2,390 $93K
99307 12,860 6,082 $79K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,885 2,308 $62K
99310 Prolong nursin fac eval 15m 1,628 1,078 $60K
99305 1,612 1,130 $48K
99225 1,596 1,000 $33K
99253 512 393 $26K
99337 1,627 817 $24K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 541 400 $18K
99406 17,362 10,177 $16K
99401 4,903 3,868 $15K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 6,698 3,722 $14K
90792 Psychiatric diagnostic evaluation with medical services 661 446 $14K
99350 Prolong home eval add 15m 1,028 522 $12K
36415 Collection of venous blood by venipuncture 7,487 5,964 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 511 314 $4K
82947 4,701 3,300 $4K
99252 81 74 $4K
99219 41 35 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 78 54 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 51 38 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,444 1,110 $2K
99347 543 265 $2K
99490 Ccm add 20min 905 685 $2K
99491 Ccm add 20min 1,881 1,368 $2K
93923 23 13 $1K
95921 28 14 $1K
82962 1,802 1,109 $890.28
99496 877 642 $886.09
99497 537 427 $852.08
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $798.94
99318 103 74 $748.16
99358 Prolong nursin fac eval 15m 255 156 $674.86
99344 52 33 $632.61
1034F 16,263 9,803 $615.24
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 295 92 $587.10
1160F 78,860 47,575 $585.03
99326 82 53 $546.27
1159F 78,465 47,066 $503.41
3074F 56,960 35,134 $411.81
99439 345 250 $365.27
1036F 183,353 107,426 $339.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 731 595 $330.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 21 15 $260.01
H0049 Alcohol and/or drug screening 12,912 8,989 $239.37
3008F 56,749 37,414 $225.65
99334 266 153 $214.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 78 57 $213.00
99397 63 61 $201.00
3078F 62,854 38,214 $164.12
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 22 15 $147.09
99442 16 12 $139.65
96160 3,073 2,324 $113.63
90674 70 45 $112.52
99441 156 109 $70.84
99342 21 13 $56.20
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 13 $46.74
3044F 3,638 2,490 $40.03
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,518 6,205 $38.69
83036 Hemoglobin; glycosylated (A1C) 55 51 $30.68
3075F 5,666 3,863 $25.27
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 147 119 $24.44
G0444 Annual depression screening, 5 to 15 minutes 355 301 $18.07
1111F 9,177 5,734 $14.20
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 17 13 $8.13
1125F 45,174 29,250 $1.26
1126F 76,766 47,213 $1.17
1170F 33,995 21,853 $0.26
3077F 1,722 1,408 $0.16
1123F 173 137 $0.12
3079F 5,407 4,227 $0.03
3048F 1,966 1,566 $0.03
3288F 9,598 6,560 $0.01
2000F 20,174 11,538 $0.00
1000F 2,336 1,745 $0.00
3049F 312 249 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 5,398 2,781 $0.00
99000 520 458 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 39 21 $0.00
1157F 14 12 $0.00
3080F 145 123 $0.00
2010F 641 444 $0.00
99484 151 133 $0.00
3052F 119 53 $0.00
96161 98 54 $0.00
96127 205 124 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 17 13 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 198 115 $0.00
G8432 Depression screening not documented, reason not given 125 72 $0.00
99327 14 12 $0.00
99407 16 16 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 55 47 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 315 239 $0.00
3720F 4,817 3,595 $0.00
3725F 4,963 3,612 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 500 281 $0.00
3050F 98 88 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 247 153 $0.00
2028F 17 16 $0.00
1158F 33 25 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 124 70 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 27 12 $0.00
3051F 238 99 $0.00
99080 17 16 $0.00
99499 36 31 $0.00
1100F 28 16 $0.00
G8482 Influenza immunization administered or previously received 101 66 $0.00
1175F 42 17 $0.00