Medicaid Provider Spending

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

RECINTO DE CIENCIAS MEDICAS

NPI: 1255357174 · SAN JUAN, PR 00936 · Gastroenterology Physician · NPI assigned 07/14/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TROCHE, MYRIAM controls 20+ related entities in our dataset. Read more

$524K
Total Medicaid Paid
11,977
Total Claims
9,216
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
NPI Enumeration Date07/14/2006

Related Entities

Other providers sharing the same authorized official: TROCHE, MYRIAM

ProviderCityStateTotal Paid
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $6.83M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $5.42M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $4.21M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.95M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $3.77M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.42M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $3.09M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.04M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $2.68M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $2.37M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $2.09M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $2.03M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $1.18M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $1.05M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $1.01M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $954K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $885K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $879K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $839K
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $822K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,886 $67K
2019 2,912 $77K
2020 794 $38K
2021 969 $48K
2022 1,078 $84K
2023 1,189 $103K
2024 1,149 $107K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 951 537 $174K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,340 2,834 $170K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,396 4,049 $79K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 468 370 $37K
99253 904 689 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 537 394 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 68 67 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 15 12 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 27 24 $4K
43235 16 14 $3K
99441 137 121 $3K
99442 74 63 $2K
99232 Subsequent hospital care, per day, moderate complexity 14 12 $2K
99252 30 30 $975.00