Medicaid Provider Spending

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

INSPIRA BEHAVIORAL CARE CORP.

NPI: 1073015566 · RIO GRANDE, PR 00745 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 03/01/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TORRES, JAVIER controls 14+ related entities in our dataset. Read more

$398K
Total Medicaid Paid
96,494
Total Claims
89,808
Beneficiaries
32
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTORRES, JAVIER (CONTRACTING DIRECTOR)
NPI Enumeration Date03/01/2018

Related Entities

Other providers sharing the same authorized official: TORRES, JAVIER

ProviderCityStateTotal Paid
INSPIRA BEHAVIORAL CARE CORP. CAGUAS PR $1.70M
INSPIRA BEHAVIORAL CARE CORP. YAUCO PR $1.07M
INSPIRA BEHAVIORAL CARE CORP. HUMACAO PR $1.03M
INSPIRA BEHAVIORAL CARE CORP. CAROLINA PR $781K
INSPIRA BEHAVIORAL CARE CORP. BAYAMON PR $741K
INSPIRA BEHAVIORAL CARE CORP. CIDRA PR $705K
INSPIRA BEHAVIORAL CARE CORP. COAMO PR $552K
INSPIRA BEHAVIORAL CARE CORP. GUAYAMA PR $505K
INSPIRA BEHAVIORAL CARE CORP. CAGUAS PR $320K
INSPIRA BEHAVIORAL CARE CORP. SAN JUAN PR $114K
INSPIRA BEHAVIORAL CARE CORP. SAN JUAN PR $14K
INSPIRA BEHAVIORAL CARE CORP. BAYAMON PR $11K
INSPIRA BEHAVIORAL CARE CORP. HATO REY PR $853.00
INSPIRA BEHAVIORAL CARE CORP. HATO REY PR $747.45

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,921 $9K
2019 17,524 $72K
2020 13,224 $32K
2021 17,462 $54K
2022 17,280 $77K
2023 16,497 $150K
2024 12,586 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,409 10,424 $126K
99442 4,968 4,455 $96K
99441 19,979 18,358 $65K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,224 17,088 $63K
90832 Psychotherapy, 30 minutes with patient 11,650 10,903 $32K
90791 Psychiatric diagnostic evaluation 2,124 2,006 $6K
90792 Psychiatric diagnostic evaluation with medical services 715 679 $5K
99443 262 227 $3K
90834 Psychotherapy, 45 minutes with patient 908 844 $2K
90853 Group psychotherapy (other than of a multiple-family group) 925 839 $420.50
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $233.00
96127 13,086 12,292 $220.54
90847 Family psychotherapy with the patient present, 50 minutes 44 43 $215.00
98968 5,661 5,386 $171.69
99215 Prolong outpt/office vis 72 71 $146.88
99347 1,419 1,391 $70.00
99411 1,643 1,603 $30.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 103 94 $21.93
98967 2,268 2,135 $19.73
84479 40 40 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 173 172 $0.00
81001 40 40 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 39 39 $0.00
80053 Comprehensive metabolic panel 39 39 $0.00
86593 18 18 $0.00
98966 189 183 $0.00
80074 18 18 $0.00
99348 20 20 $0.00
90837 Psychotherapy, 53 minutes with patient 196 173 $0.00
87903 14 14 $0.00
80305 196 162 $0.00
80061 Lipid panel 38 38 $0.00