Medicaid Provider Spending

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

CENTRO MEDICINA PRIMARIA VEGA ALTA

NPI: 1194183558 · VEGA ALTA, PR 00692 · Emergency Care Clinic/Center · NPI assigned 02/01/2016

$424K
Total Medicaid Paid
20,883
Total Claims
12,727
Beneficiaries
42
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOMINGUEZ, MILDALIAS (PRESIDENT)
NPI Enumeration Date02/01/2016

Related Entities

Other providers sharing the same authorized official: DOMINGUEZ, MILDALIAS

ProviderCityStateTotal Paid
CDT CENTRO DE MEDICINA PRIMARIA DE VEGA ALTA CORP VEGA ALTA PR $110K
HOSPITAL SERVICES ON CALL PROGRAM INC VEGA ALTA PR $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 320 $11K
2021 5,502 $53K
2022 3,597 $52K
2023 6,075 $125K
2024 5,389 $184K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 3,548 2,126 $98K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,906 814 $75K
71046 Radiologic examination, chest; 2 views 1,964 1,533 $42K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,571 552 $39K
73562 978 526 $27K
74018 1,289 1,018 $20K
72100 680 471 $20K
76770 328 117 $13K
73630 530 368 $12K
72110 435 383 $11K
73030 326 211 $7K
72040 238 148 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,084 1,213 $7K
76536 326 110 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 498 247 $5K
73130 184 132 $4K
84443 Thyroid stimulating hormone (TSH) 228 211 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 464 436 $3K
86738 221 219 $3K
80061 Lipid panel 214 196 $2K
76830 Ultrasound, transvaginal 22 12 $2K
72050 79 71 $2K
73560 97 75 $2K
80053 Comprehensive metabolic panel 233 215 $2K
70260 98 79 $2K
83036 Hemoglobin; glycosylated (A1C) 168 153 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 42 42 $1K
71045 Radiologic examination, chest; single view 95 83 $1K
86803 67 67 $898.26
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 80 80 $765.51
81000 267 249 $684.28
70360 23 12 $602.14
73600 23 12 $347.62
73100 25 14 $337.20
82274 52 35 $331.59
72080 12 12 $266.40
84439 18 18 $176.76
82043 29 28 $170.10
84436 23 23 $111.35
84479 16 16 $37.02
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 334 333 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 68 67 $0.00