Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › LAKE CITY › CLUB COMMUNITY CARE LLC

CLUB COMMUNITY CARE LLC

NPI: 1982200382 · LAKE CITY, FL 32055 · Case Management Agency · NPI assigned 12/10/2020

$14K
Total Medicaid Paid
927
Total Claims
97
Beneficiaries
1
Codes Billed
2021-06
First Month
2021-11
Last Month

Provider Details

Authorized OfficialDIAZ HERNANDEZ, DAMARY (PRESIDENT)
NPI Enumeration Date12/10/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 927 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 927 97 $14K