Medicaid Provider Spending

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

INSTITUTO MEDICO FAMILIAR INC

NPI: 1205948817 · CANOVANAS, PR 00729 · Legal Medicine · NPI assigned 08/31/2006

$1.16M
Total Medicaid Paid
318,745
Total Claims
255,258
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, OSCAR (PRESIDENTE)
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: GARCIA, OSCAR

ProviderCityStateTotal Paid
POTENTIAL HOME HEALTH CARE INC. MIAMI FL $6.20M
OSCAR J GARCIA MD PA EDINBURG TX $46K
INSTITUTO MEDICO FAMILIAR DEL ESTE CANOVANAS PR $112.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,153 $48K
2019 26,496 $52K
2020 34,457 $116K
2021 55,043 $292K
2022 51,946 $209K
2023 73,990 $309K
2024 57,660 $132K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9097 Home visit for wound care 15,360 2,128 $746K
99345 Prolong home eval add 15m 2,615 536 $145K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90,921 79,826 $87K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,201 640 $72K
T1002 Rn services, up to 15 minutes 1,462 246 $41K
99337 2,521 2,080 $13K
99441 22,548 19,774 $11K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 912 874 $7K
T1030 Nursing care, in the home, by registered nurse, per diem 74 57 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,298 5,946 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,739 4,443 $3K
0002A 128 88 $3K
99443 159 113 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 744 428 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,274 4,350 $3K
99348 1,111 854 $2K
0001A 137 90 $2K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 18,057 15,371 $1K
99336 14 14 $1K
0003A 59 34 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,322 992 $531.52
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,234 1,005 $408.00
90837 Psychotherapy, 53 minutes with patient 1,890 1,641 $55.00
96127 1,097 1,079 $52.39
96110 Developmental screening, with scoring and documentation, per standardized instrument 201 192 $32.00
96150 95 94 $28.11
99401 891 862 $20.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,535 1,453 $15.26
96160 983 977 $2.26
3008F 36,786 27,560 $0.59
3078F 32,580 26,791 $0.56
3075F 9,917 8,281 $0.34
3074F 27,721 23,180 $0.24
3079F 4,823 4,291 $0.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 368 355 $0.00
99050 837 779 $0.00
1170F 3,137 2,907 $0.00
3017F 929 909 $0.00
99349 139 137 $0.00
3044F 620 609 $0.00
99368 160 160 $0.00
90834 Psychotherapy, 45 minutes with patient 50 45 $0.00
99350 Prolong home eval add 15m 530 454 $0.00
3014F 430 406 $0.00
3011F 160 154 $0.00
99241 14 12 $0.00
1111F 61 59 $0.00
3061F 39 39 $0.00
3048F 46 46 $0.00
3049F 15 15 $0.00
4037F 28 28 $0.00
1160F 3,144 2,920 $0.00
2014F 3,087 2,863 $0.00
90791 Psychiatric diagnostic evaluation 262 257 $0.00
1159F 3,138 2,914 $0.00
90658 15 14 $0.00
1158F 2,750 2,527 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 145 143 $0.00
96152 125 112 $0.00
3077F 66 64 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $0.00
3050F 29 28 $0.00