Medicaid Provider Spending

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

ROMAN, ERNESTO

NPI: 1104928423 · VEGA BAJA, PR 00693 · General Practice Physician · NPI assigned 09/05/2006

$5K
Total Medicaid Paid
12,807
Total Claims
9,758
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,455 $0.00
2019 1,770 $0.00
2020 1,524 $2K
2021 1,772 $3K
2022 1,584 $360.00
2023 1,777 $0.00
2024 2,925 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 214 206 $3K
99233 Prolong inpt eval add15 m 14 13 $744.00
99441 1,441 1,344 $524.00
99222 Initial hospital care, per day, moderate complexity 13 12 $196.84
99238 Hospital discharge day management, 30 minutes or less 14 13 $104.30
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,061 5,714 $98.57
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 28 24 $56.74
99442 254 236 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,768 2,196 $0.00