Medicaid Provider Spending

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

HOSPITAL SAN CARLOS INCORPORADO

NPI: 1104856889 · MOCA, PR 00676 · Cardiovascular Disease Physician · NPI assigned 07/05/2006

$234K
Total Medicaid Paid
8,651
Total Claims
6,101
Beneficiaries
8
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVILLANUEVA, SARAH (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 572 $2K
2020 954 $12K
2021 963 $21K
2022 823 $31K
2023 2,649 $93K
2024 2,690 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,368 2,460 $148K
99284 Emergency department visit for the evaluation and management, high severity 315 185 $29K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,132 1,837 $26K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,232 1,036 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor 405 392 $5K
99070 100 95 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14 13 $2K
93000 85 83 $863.82