Medicaid Provider Spending

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

METRO TOA BAJA, INC.

NPI: 1073057642 · TOA BAJA, PR 00951 · Emergency Care Clinic/Center · NPI assigned 12/15/2016

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

Authorized official LOPEZ, MARIA controls 17+ related entities in our dataset. Read more

$209K
Total Medicaid Paid
6,440
Total Claims
5,242
Beneficiaries
17
Codes Billed
2018-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLOPEZ, MARIA (VP OPERATIONAL SENIOR)
NPI Enumeration Date12/15/2016

Related Entities

Other providers sharing the same authorized official: LOPEZ, MARIA

ProviderCityStateTotal Paid
PEDIATRIC ASSOCIATES, LLC BRISTOL CT $3.66M
MORNING STAR ADULT DAY CARE CORP MIAMI FL $990K
FLANDERS PEDIATRICS LLC EAST LYME CT $772K
METRO PAVIA HEALTHCARE CENTERS INC PONCE PR $370K
LABORATORIO ALHAMBRA, LLC JUANA DIAZ PR $113K
METRO PAVIA HEALTHCARE CENTER BAYAMON PR $75K
INTEGRATE COMMUNITY HEALTH SYSTEM AGUADILLA PR $70K
METRO TOA BAJA INC. TOA BAJA PR $66K
METRO TOA BAJA INC. TOA BAJA PR $37K
MADORSKY, PINON, BRUCK & MENNIE UROLOGY CENTER OF SOUTH FLORIDA PA MIAMI FL $14K
METRO PAVIA HEALTHCARE CENTER ARECIBO PR $7K
METRO PAVIA HEALTHCARE CENTERS INC PONCE PR $5K
INTEGRATE COMMUNITY HEALTH SYSTEM FAJARDO PR $4K
METRO PAVIA HEALTHCARE CENTER BAYAMON PR $3K
INTEGRATE COMMUNITY HEALTH SYSTEM AGUADILLA PR $2K
METRO PAVIA HEALTHCARE CENTERS BAYAMON PR $1K
MARIA ISABEL LOPEZ, MD, PA DAYTONA BEACH FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63 $870.00
2019 667 $14K
2020 565 $24K
2021 3,623 $93K
2022 782 $31K
2023 508 $29K
2024 232 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 1,563 1,050 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 493 477 $24K
0002A 1,094 864 $21K
0001A 1,180 934 $20K
99051 703 644 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 178 176 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 242 218 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 160 150 $8K
99283 Emergency department visit for the evaluation and management, moderate severity 251 184 $7K
99201 164 158 $7K
0004A 225 212 $7K
0003A 64 61 $2K
0072A 20 19 $720.00
0071A 18 17 $600.00
71046 Radiologic examination, chest; 2 views 12 12 $27.84
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 56 50 $4.50
99284 Emergency department visit for the evaluation and management, high severity 17 16 $0.00