Medicaid Provider Spending

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

CENTRO DE CANCER DE LA MONTANA CSP

NPI: 1225020662 · AIBONITO, PR 00705 · Internal Medicine Physician · NPI assigned 08/22/2005

$282K
Total Medicaid Paid
7,632
Total Claims
4,823
Beneficiaries
16
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialSIERRA, WILLIAM (DIRECTOR RH)
NPI Enumeration Date08/22/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,364 $156K
2019 3,268 $126K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q0084 Chemotherapy administration by infusion technique only, per visit 1,382 672 $94K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,054 495 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,261 1,988 $44K
96375 Therapeutic injection; each additional sequential IV push 744 372 $26K
96415 362 197 $22K
96367 710 330 $18K
96523 467 435 $9K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 178 66 $3K
99242 73 73 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 152 37 $3K
96417 76 55 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15 14 $693.21
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 15 $526.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21 12 $321.57
99233 Prolong inpt eval add15 m 17 13 $320.00
J7050 Infusion, normal saline solution, 250 cc 104 49 $113.29