Medicaid Provider Spending

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

PR INTEGRATED CARE

NPI: 1003225103 · TOA BAJA, PR 00949 · Multi-Specialty Clinic/Center · NPI assigned 08/04/2014

$22K
Total Medicaid Paid
8,374
Total Claims
8,096
Beneficiaries
25
Codes Billed
2018-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialOJO, OTEGBOLA (PRESIDENT/CEO)
NPI Enumeration Date08/04/2014

Related Entities

Other providers sharing the same authorized official: OJO, OTEGBOLA

ProviderCityStateTotal Paid
RENAL HEALTH & RESEARCH MANAGEMENT, LLC TRUJILLO ALTO PR $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $514.50
2019 24 $250.00
2021 30 $2K
2022 179 $4K
2023 5,046 $6K
2024 3,054 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 720 683 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 147 137 $4K
96156 18 18 $547.26
4450F 694 667 $0.00
4050F 706 679 $0.00
3079F 281 271 $0.00
3008F 903 878 $0.00
1126F 571 553 $0.00
1125F 130 128 $0.00
3074F 238 236 $0.00
1170F 109 104 $0.00
3075F 111 107 $0.00
3061F 175 171 $0.00
3048F 18 18 $0.00
3044F 24 24 $0.00
G0420 Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour 285 279 $0.00
1159F 882 857 $0.00
98960 233 223 $0.00
3078F 432 426 $0.00
1160F 881 855 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 76 76 $0.00
3077F 338 322 $0.00
99497 37 37 $0.00
99071 291 275 $0.00
3062F 74 72 $0.00