Medicaid Provider Spending

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

CUEBAS, REBECA

NPI: 1154483659 · SAN JUAN, PR 00926 · Pediatrics Physician · NPI assigned 12/14/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

95% of spending on code 99284 with only 2 total codes billed. Highly concentrated billing profile.

$1.01M
Total Medicaid Paid
16,443
Total Claims
15,212
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,378 $40K
2019 2,590 $40K
2020 1,051 $25K
2021 1,521 $122K
2022 2,382 $197K
2023 3,450 $306K
2024 3,071 $284K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 15,311 14,121 $965K
99243 1,132 1,091 $49K