Medicaid Provider Spending

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

ISV PEDIATRICS

NPI: 1033308184 · YAUCO, PR 00698 · Pediatrics Physician · NPI assigned 10/15/2007

$16K
Total Medicaid Paid
23,272
Total Claims
16,723
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSEPULVEDA, ILEANA (PRESIDENT)
NPI Enumeration Date10/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,123 $100.00
2019 2,071 $43.69
2020 1,459 $23.69
2021 2,887 $1K
2022 3,604 $10K
2023 4,712 $5K
2024 4,416 $25.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,937 2,472 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,307 6,626 $855.34
99201 112 104 $100.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,005 2,187 $47.38
99442 461 426 $21.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 197 173 $20.00
99441 879 781 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,950 1,393 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1,059 852 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,034 1,493 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 331 216 $0.00