Medicaid Provider Spending

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

CDT MARICAO MEDICAL CENTER LLC

NPI: 1114336914 · MARICAO, PR 00606 · Emergency Care Clinic/Center · NPI assigned 08/05/2014

$12K
Total Medicaid Paid
206
Total Claims
197
Beneficiaries
5
Codes Billed
2018-03
First Month
2021-07
Last Month

Provider Details

Authorized OfficialRAMIREZ, EDRICK (PRESIDENT)
NPI Enumeration Date08/05/2014

Related Entities

Other providers sharing the same authorized official: RAMIREZ, EDRICK

ProviderCityStateTotal Paid
CDT LAS MARIAS MEDICAL CENTER LLC LAS MARIAS PR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $10K
2021 137 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 54 51 $10K
0002A 41 41 $2K
71046 Radiologic examination, chest; 2 views 15 15 $212.80
0011A 50 47 $40.00
0012A 46 43 $40.00