Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › AGUADILLA › FALTO DETRES, PEDRO

FALTO DETRES, PEDRO

NPI: 1194796433 · AGUADILLA, PR 00603 · 207R00000X

$166.00
Total Medicaid Paid
865
Total Claims
732
Beneficiaries
11
Codes Billed
2018-01
First Month
2018-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 865 $166.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
1158F 58 52 $136.00
3078F 49 42 $30.00
1160F 59 53 $0.00
99211 307 235 $0.00
1159F 60 53 $0.00
0521F 13 12 $0.00
3008F 14 13 $0.00
1170F 58 52 $0.00
3061F 14 14 $0.00
99213 221 194 $0.00
3074F 12 12 $0.00