Medicaid Provider Spending

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

PRIME MEDICA PSC

NPI: 1215340567 · AGUADA, PR 00602 · Primary Care Clinic/Center · NPI assigned 06/04/2014

$1K
Total Medicaid Paid
19,093
Total Claims
16,277
Beneficiaries
27
Codes Billed
2021-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialORTEGA, HIRAM (PRESIDENT)
NPI Enumeration Date06/04/2014

Related Entities

Other providers sharing the same authorized official: ORTEGA, HIRAM

ProviderCityStateTotal Paid
AGUADA MEDICAL CENTER INC. AGUADA PR $991K
ADVANCED GASTROENTEROLOGY CENTER, PSC AGUADA PR $416K
AGUADA MEDICAL CENTER INC. AGUADA PR $211K
AGUADA MEDICAL CENTER, INC. AGUADA PR $96K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 702 $0.00
2022 1,977 $259.76
2023 4,080 $322.98
2024 12,334 $778.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,754 3,051 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,268 1,100 $69.26
3078F 1,894 1,438 $0.00
1160F 773 726 $0.00
3725F 259 174 $0.00
1158F 1,220 1,124 $0.00
3077F 200 161 $0.00
1159F 774 727 $0.00
4035F 771 723 $0.00
2028F 766 718 $0.00
3050F 71 56 $0.00
3008F 770 722 $0.00
3044F 578 490 $0.00
3079F 202 161 $0.00
3074F 1,845 1,400 $0.00
3014F 319 256 $0.00
3048F 275 229 $0.00
3061F 585 496 $0.00
1126F 622 594 $0.00
1170F 1,205 1,108 $0.00
1157F 365 328 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 77 65 $0.00
3017F 156 145 $0.00
3049F 201 171 $0.00
3080F 51 43 $0.00
1125F 12 12 $0.00
3075F 80 59 $0.00