Medicaid Provider Spending

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

GIRAU, EDWIN

NPI: 1144228537 · VEGA ALTA, PR 00692 · General Practice Physician · NPI assigned 07/11/2005

$8K
Total Medicaid Paid
4,695
Total Claims
3,545
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,005 $25.36
2019 660 $36.50
2020 643 $512.83
2021 430 $5K
2022 42 $168.99
2023 1,322 $1K
2024 593 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,350 2,597 $2K
0012A 44 43 $2K
0011A 38 33 $1K
0002A 18 18 $680.00
96160 16 16 $520.00
0001A 14 14 $520.00
99441 442 374 $418.76
99442 47 39 $378.93
90656 14 14 $243.04
90686 13 12 $168.99
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 28 26 $135.00
99242 26 25 $90.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 14 $69.26
G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails 17 13 $0.00
1158F 187 114 $0.00
0521F 89 49 $0.00
1160F 94 48 $0.00
2028F 17 13 $0.00
1159F 185 49 $0.00
G0008 Administration of influenza virus vaccine 14 14 $0.00
1126F 24 20 $0.00