Medicaid Provider Spending

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

GRUPO PEDIATRICO CIDRENO, CSP

NPI: 1023367463 · CIDRA, PR 00739 · Specialist · NPI assigned 08/30/2012

$71K
Total Medicaid Paid
17,644
Total Claims
14,064
Beneficiaries
12
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialCACERES, CARLOS (PRESIDENT)
NPI Enumeration Date08/30/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,196 $1.54
2019 4,536 $23K
2020 3,033 $47K
2021 4,757 $0.00
2022 1,122 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,764 10,428 $67K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 119 118 $3K
80061 Lipid panel 294 265 $456.16
85014 354 323 $0.19
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 352 337 $0.11
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 540 514 $0.11
3008F 977 906 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 128 104 $0.00
96127 122 121 $0.00
99401 944 901 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 26 $0.00
83655 21 21 $0.00