Medicaid Provider Spending

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

INSPIRA BEHAVIORAL CARE CORP.

NPI: 1265947113 · CAGUAS, PR 00725 · Adult Mental Health Clinic/Center · NPI assigned 12/13/2017

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

Authorized official TORRES, JAVIER controls 14+ related entities in our dataset. Read more

$320K
Total Medicaid Paid
84,498
Total Claims
78,038
Beneficiaries
22
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTORRES, JAVIER (CONTRACTING DEPARTMENT DIRECTOR)
NPI Enumeration Date12/13/2017

Related Entities

Other providers sharing the same authorized official: TORRES, JAVIER

ProviderCityStateTotal Paid
INSPIRA BEHAVIORAL CARE CORP. CAGUAS PR $1.70M
INSPIRA BEHAVIORAL CARE CORP. YAUCO PR $1.07M
INSPIRA BEHAVIORAL CARE CORP. HUMACAO PR $1.03M
INSPIRA BEHAVIORAL CARE CORP. CAROLINA PR $781K
INSPIRA BEHAVIORAL CARE CORP. BAYAMON PR $741K
INSPIRA BEHAVIORAL CARE CORP. CIDRA PR $705K
INSPIRA BEHAVIORAL CARE CORP. COAMO PR $552K
INSPIRA BEHAVIORAL CARE CORP. GUAYAMA PR $505K
INSPIRA BEHAVIORAL CARE CORP. RIO GRANDE PR $398K
INSPIRA BEHAVIORAL CARE CORP. SAN JUAN PR $114K
INSPIRA BEHAVIORAL CARE CORP. SAN JUAN PR $14K
INSPIRA BEHAVIORAL CARE CORP. BAYAMON PR $11K
INSPIRA BEHAVIORAL CARE CORP. HATO REY PR $853.00
INSPIRA BEHAVIORAL CARE CORP. HATO REY PR $747.45

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 461 $15.00
2019 1,961 $929.73
2020 5,084 $5K
2021 20,397 $64K
2022 19,033 $41K
2023 19,920 $95K
2024 17,642 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,652 12,721 $117K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,437 1,358 $80K
99442 9,813 9,144 $76K
99441 9,843 9,150 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,972 5,533 $10K
99443 139 119 $9K
90832 Psychotherapy, 30 minutes with patient 12,200 11,132 $8K
90791 Psychiatric diagnostic evaluation 1,405 1,346 $3K
99347 249 240 $1K
90792 Psychiatric diagnostic evaluation with medical services 762 746 $1K
98968 3,232 3,024 $864.65
96127 18,137 16,439 $805.42
98967 5,446 5,074 $757.98
90834 Psychotherapy, 45 minutes with patient 164 152 $148.61
99215 Prolong outpt/office vis 16 16 $146.88
90853 Group psychotherapy (other than of a multiple-family group) 722 625 $70.00
99411 154 148 $30.00
98966 638 619 $10.12
99349 29 29 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 76 72 $0.00
80305 391 330 $0.00
99342 21 21 $0.00