Medicaid Provider Spending

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

SERVICIOS QUIRURGICOS DEL SURESTE

NPI: 1073994729 · GUAYAMA, PUERTO RICO 00784 · Surgery Physician · NPI assigned 06/17/2015

$337.00
Total Medicaid Paid
638
Total Claims
579
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialPIMENTEL FERNANDEZ, JOSE (PRESIDENT)
NPI Enumeration Date06/17/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 569 $337.00
2019 69 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 389 335 $195.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 108 107 $64.00
99242 35 35 $30.00
99215 Prolong outpt/office vis 14 14 $25.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 50 47 $13.00
99283 Emergency department visit for the evaluation and management, moderate severity 13 13 $10.00
99201 12 12 $0.00
99223 Prolong inpt eval add15 m 17 16 $0.00