Medicaid Provider Spending

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

NPI: 1043381080 · RIO PIEDRAS, PR 00921 · Specialist · NPI assigned 11/13/2006

$7K
Total Medicaid Paid
627
Total Claims
612
Beneficiaries
5
Codes Billed
2018-09
First Month
2021-10
Last Month

Provider Details

Authorized OfficialRUIZ ROMAN, JORGE (PRESIDENTE)
NPI Enumeration Date11/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $304.48
2019 126 $1K
2020 362 $4K
2021 107 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 251 246 $5K
90674 35 35 $984.55
0002A 18 15 $680.00
0001A 15 13 $254.10
G0008 Administration of influenza virus vaccine 308 303 $0.00