WESTERN PR NEUROLOGICAL CLINIC CSP
NPI: 1265869168
· MAYAGUEZ, PR 00680
· Medical Specialty Clinic/Center
· NPI assigned 10/09/2013
$487K
Total Medicaid Paid
Provider Details
| Authorized Official | ACEVEDO, JOSE (CEO) |
| NPI Enumeration Date | 10/09/2013 |
Related Entities
Other providers sharing the same authorized official: ACEVEDO, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
159 |
$7K |
| 2019 |
665 |
$35K |
| 2020 |
1,089 |
$62K |
| 2021 |
905 |
$55K |
| 2022 |
861 |
$51K |
| 2023 |
1,064 |
$92K |
| 2024 |
1,840 |
$186K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,475 |
3,761 |
$261K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,740 |
1,507 |
$140K |
| 95819 |
|
244 |
178 |
$80K |
| 99442 |
|
112 |
110 |
$3K |
| 93880 |
|
12 |
12 |
$2K |