Medicaid Provider Spending

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

PRYMED MEDICAL CARE INC

NPI: 1164987152 · CIALES, PR 00638 · Federally Qualified Health Center (FQHC) · NPI assigned 02/05/2019

$5K
Total Medicaid Paid
401
Total Claims
389
Beneficiaries
3
Codes Billed
2022-09
First Month
2024-07
Last Month

Provider Details

Authorized OfficialVEGA DE JESUS, MARISOL (FINANCE DIRECTOR)
Parent OrganizationPRYMED MEDICAL CARE INC
NPI Enumeration Date02/05/2019

Related Entities

Other providers sharing the same authorized official: VEGA DE JESUS, MARISOL

ProviderCityStateTotal Paid
PRYMED MEDICAL CARE, INC VEGA BAJA PR $9K
PRYMED MEDICAL CARE INC CIALES PR $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 80 $1K
2023 233 $3K
2024 88 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 197 192 $3K
90656 155 152 $2K
90686 49 45 $854.07