Medicaid Provider Spending

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

LA VIDA MEDICAL GROUP , INC

NPI: 1982377065 · OLDSMAR, FL 34677 · Internal Medicine Physician · NPI assigned 07/26/2021

$19K
Total Medicaid Paid
1,678
Total Claims
1,363
Beneficiaries
9
Codes Billed
2022-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEREZ CEBALLOS, SANLLY (PRESIDENT)
NPI Enumeration Date07/26/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 66 $4K
2023 253 $9K
2024 1,359 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 463 381 $18K
99204 12 12 $986.86
93000 13 12 $62.00
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) 79 60 $11.44
1159F 264 207 $0.00
1160F 266 209 $0.00
3078F 163 135 $0.00
2001F 263 216 $0.00
3074F 155 131 $0.00