Medicaid Provider Spending

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

LIBERTY COMMUNITY HEALTH CARE, INC

NPI: 1962875435 · HOSFORD, FL 32334 · General Practice Physician · NPI assigned 11/05/2015

$6K
Total Medicaid Paid
575
Total Claims
559
Beneficiary Records
5
Codes Billed
2019-07
First Month
2020-03
Last Month

Provider Details

Authorized OfficialHOWLAND, PEGGY (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date11/05/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 401 $4K
2020 174 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0191 135 134 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55 43 $2K
D1206 Topical application of fluoride varnish 134 133 $171.11
D1330 134 133 $0.00
D1120 Prophylaxis - child 117 116 $0.00