Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SERVICIOS MEDICOS INTEGRADOS DE LAJAS CSP

NPI: 1104108927 · LAJAS, PR 00680 · Point of Service · NPI assigned 09/19/2011

$1K
Total Medicaid Paid
179
Total Claims
160
Beneficiaries
4
Codes Billed
2018-02
First Month
2021-10
Last Month

Provider Details

Authorized OfficialROSARIO, RUBEN (PRESIDENT)
NPI Enumeration Date09/19/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56 $119.48
2019 51 $506.62
2021 72 $632.19

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90656 54 53 $948.51
90686 34 34 $190.30
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56 38 $119.48
1030F 35 35 $0.00