Medicaid Provider Spending

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

POTENCIANO GONZALES MD PA

NPI: 1043541162 · DEBARY, FL 32713 · Family Medicine Physician · NPI assigned 01/29/2010

$3K
Total Medicaid Paid
107
Total Claims
98
Beneficiaries
2
Codes Billed
2019-09
First Month
2019-12
Last Month

Provider Details

Authorized OfficialGONZALES, POTENCIANO (PHYSICIAN)
NPI Enumeration Date01/29/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 107 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 94 86 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $232.87