Medicaid Provider Spending

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

HERNANDEZ ROMAN, GABRIEL

NPI: 1245795087 · SAN JUAN, PR 00923 · General Practice Physician · NPI assigned 02/06/2019

$224K
Total Medicaid Paid
2,923
Total Claims
2,116
Beneficiaries
14
Codes Billed
2023-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 420 $29K
2024 2,503 $196K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 391 165 $65K
99234 686 439 $43K
93268 241 226 $41K
99235 364 294 $38K
99236 Prolong inpt eval add15 m 87 83 $15K
99284 Emergency department visit for the evaluation and management, high severity 106 73 $10K
99283 Emergency department visit for the evaluation and management, moderate severity 110 73 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 180 170 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 288 262 $1K
93272 72 12 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 168 107 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 185 170 $1K
99232 Subsequent hospital care, per day, moderate complexity 14 12 $883.76
76140 31 30 $503.10