Medicaid Provider Spending

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

GRUPO MEDICO DE CAYEY

NPI: 1104034826 · SAN JUAN, PR 00926 · Point of Service · NPI assigned 05/18/2007

$26K
Total Medicaid Paid
235,890
Total Claims
129,693
Beneficiaries
79
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBENGOA, ROBERTO (PRESIDENT)
NPI Enumeration Date05/18/2007

Related Entities

Other providers sharing the same authorized official: BENGOA, ROBERTO

ProviderCityStateTotal Paid
CENTRO MEDICOS UNIDOS DEL OESTE SAN JUAN PR $355K
ALIANZA DE MEDICOS DEL SURESTE SAN JUAN PR $19K
G.M.D.C. INC SAN JUAN PR $690.88
CONSORCIO MULTISALUD DEL OESTE, INC. SAN JUAN PR $0.42
CONSORCIO MULTISALUD DEL ESTE, INC. SAN JUAN PR $0.11
GRUPO MEDICO DE OROCOVIS SAN JUAN PR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,715 $165.49
2019 26,743 $362.94
2020 16,669 $3K
2021 59,555 $15K
2022 46,330 $7K
2023 48,654 $0.00
2024 21,224 $40.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,755 40,070 $14K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 803 561 $10K
90832 Psychotherapy, 30 minutes with patient 390 357 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 859 434 $651.12
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,911 911 $94.79
99442 5,364 2,331 $89.47
96160 1,290 795 $40.00
99443 5,764 2,524 $22.21
99386 179 70 $0.01
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,245 1,863 $0.01
99051 658 303 $0.01
1170F 4,537 2,569 $0.00
3008F 13,162 7,660 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,411 1,553 $0.00
3074F 8,261 4,806 $0.00
99441 21,075 9,642 $0.00
3044F 1,000 621 $0.00
96161 726 471 $0.00
86701 64 31 $0.00
3079F 1,194 724 $0.00
3017F 247 183 $0.00
99384 14 14 $0.00
92551 884 572 $0.00
99402 461 356 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,203 832 $0.00
1157F 1,893 1,422 $0.00
1126F 1,956 1,237 $0.00
99385 86 21 $0.00
3048F 1,532 885 $0.00
3049F 212 135 $0.00
96127 3,599 2,141 $0.00
3061F 518 270 $0.00
2010F 108 41 $0.00
94760 124 123 $0.00
1125F 1,808 974 $0.00
36415 Collection of venous blood by venipuncture 24 14 $0.00
99403 781 414 $0.00
3080F 260 165 $0.00
3075F 363 225 $0.00
2001F 105 40 $0.00
2000F 248 153 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 37 37 $0.00
99174 242 143 $0.00
99050 42 39 $0.00
96150 147 114 $0.00
1111F 63 36 $0.00
99383 13 13 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 13 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16,822 8,025 $0.00
99401 1,871 1,082 $0.00
3078F 8,074 4,696 $0.00
1160F 12,984 7,221 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,520 1,523 $0.00
99382 68 26 $0.00
3725F 451 344 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,153 652 $0.00
3077F 1,694 1,002 $0.00
99411 671 423 $0.00
1159F 12,869 7,141 $0.00
1158F 4,214 2,317 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,055 1,490 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,783 840 $0.00
80061 Lipid panel 242 147 $0.00
99173 1,715 971 $0.00
99408 207 130 $0.00
99397 44 40 $0.00
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 482 222 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 171 134 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 122 49 $0.00
85014 624 414 $0.00
99404 207 200 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,103 613 $0.00
99215 Prolong outpt/office vis 1,189 507 $0.00
3050F 65 31 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 198 90 $0.00
0521F 380 254 $0.00
G9968 Patient was referred to another clinician or specialist during the measurement period 247 169 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 13 $0.00
2028F 21 20 $0.00