Medicaid Provider Spending

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

JC PROFESSIONAL MEDICAL SERVICES, PSC

NPI: 1144485632 · GURABO, PR 00778 · General Practice Physician · NPI assigned 07/23/2008

$1K
Total Medicaid Paid
5,733
Total Claims
3,962
Beneficiaries
20
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialCORDERO SEPULVEDA, JULIO (GENERAL PHYSICIAN)
NPI Enumeration Date07/23/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,929 $349.11
2019 2,739 $0.00
2020 17 $129.01
2022 48 $976.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 48 46 $976.50
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 602 404 $321.32
3078F 656 438 $58.80
3074F 656 438 $58.80
1158F 33 32 $19.60
1157F 13 12 $19.60
1160F 96 89 $0.00
0521F 303 216 $0.00
2028F 212 138 $0.00
1159F 78 74 $0.00
4013F 26 26 $0.00
1125F 288 204 $0.00
3008F 658 439 $0.00
2010F 655 437 $0.00
2000F 655 437 $0.00
2001F 655 437 $0.00
1123F 20 20 $0.00
4010F 29 28 $0.00
3017F 17 15 $0.00
1170F 33 32 $0.00