Medicaid Provider Spending

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

NPI: 1184480303 · HUMACAO, PR 00791 · Pediatrics Physician · NPI assigned 02/26/2024

$12K
Total Medicaid Paid
110
Total Claims
73
Beneficiaries
2
Codes Billed
2024-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLOPEZ BURREZO, JOSE (PRESIDENT)
NPI Enumeration Date02/26/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 110 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 84 59 $7K
99233 Prolong inpt eval add15 m 26 14 $5K