Medicaid Provider Spending

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

CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.

NPI: 1275539728 · PATILLAS, PR 00723 · Federally Qualified Health Center (FQHC) · NPI assigned 06/21/2005

$3.06M
Total Medicaid Paid
421,225
Total Claims
362,593
Beneficiaries
186
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOREL, MILDRED (EXECUTIVE DIRECTOR)
NPI Enumeration Date06/21/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51,000 $315K
2019 44,199 $127K
2020 32,495 $169K
2021 65,173 $692K
2022 59,320 $536K
2023 97,132 $811K
2024 71,906 $411K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9088 Services provided in an urgent care center (list in addition to code for service) 33,474 30,139 $657K
S9083 Global fee urgent care centers 9,436 8,498 $287K
77067 Screening mammography, bilateral, including computer-aided detection 2,099 1,386 $197K
0002A 4,947 4,748 $180K
0001A 5,614 5,004 $156K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,521 10,788 $115K
90461 11,460 8,922 $105K
90460 Immunization administration through 18 years of age via any route, first or only component 17,682 13,528 $95K
0004A 1,863 1,756 $69K
0003A 1,763 1,740 $69K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,621 63,249 $69K
76641 1,429 690 $67K
97802 1,763 1,658 $57K
0124A 1,631 1,144 $56K
0054A 1,869 1,524 $53K
71045 Radiologic examination, chest; single view 3,016 2,048 $52K
76700 Ultrasound, abdominal, real time with image documentation; complete 676 433 $50K
90686 11,388 8,782 $44K
71046 Radiologic examination, chest; 2 views 1,934 1,310 $43K
90651 4,396 3,558 $43K
72100 1,562 1,077 $40K
99441 14,384 12,899 $39K
90472 Immunization administration, each additional vaccine (list separately) 3,303 2,783 $38K
0071A 1,001 984 $34K
0072A 934 923 $33K
77066 Tomosynthesis, mammo 194 114 $25K
97803 1,424 1,297 $25K
D1110 Prophylaxis - adult 812 691 $20K
73560 824 510 $20K
90715 2,845 2,222 $19K
D1999 1,302 1,212 $17K
76830 Ultrasound, transvaginal 196 90 $16K
90620 2,153 1,654 $16K
96160 12,411 11,365 $15K
99442 3,539 3,210 $14K
D0120 Periodic oral evaluation - established patient 898 749 $12K
73030 443 226 $12K
90716 2,779 2,230 $11K
90677 739 465 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 33,023 28,944 $10K
90670 3,890 3,233 $10K
76536 173 105 $9K
D0150 Comprehensive oral evaluation - new or established patient 512 422 $8K
90656 909 678 $8K
74018 424 315 $8K
90707 2,668 2,124 $8K
D1208 Topical application of fluoride, excluding varnish 593 486 $8K
76770 144 81 $7K
90671 651 461 $7K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,256 1,185 $7K
D0272 Bitewings - two radiographic images 388 333 $5K
72040 217 150 $5K
90633 2,831 2,195 $4K
D0220 Intraoral - periapical first radiographic image 600 508 $4K
D0230 Intraoral - periapical each additional radiographic image 576 458 $4K
86328 266 255 $4K
90732 71 70 $4K
70220 144 124 $3K
90734 1,791 1,576 $3K
D1120 Prophylaxis - child 169 122 $3K
90657 913 700 $3K
73620 111 56 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,519 3,285 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,228 2,949 $2K
0073A 54 54 $2K
93000 2,476 2,286 $2K
72082 42 24 $2K
36415 Collection of venous blood by venipuncture 266 256 $2K
91320 174 129 $2K
90480 184 135 $2K
90698 1,753 1,377 $2K
90696 974 735 $2K
90791 Psychiatric diagnostic evaluation 33 32 $2K
90697 564 388 $2K
0053A 40 40 $2K
0034A 69 45 $1K
90685 1,111 722 $1K
0081A 30 29 $1K
73502 28 14 $994.71
90621 443 330 $988.24
80061 Lipid panel 255 246 $987.28
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 94 94 $895.64
90680 664 470 $824.05
90837 Psychotherapy, 53 minutes with patient 40 31 $748.16
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 355 326 $731.82
84443 Thyroid stimulating hormone (TSH) 130 124 $728.08
90674 479 328 $642.27
0082A 16 16 $640.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 188 184 $631.14
99348 938 872 $599.96
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 16 12 $579.66
90681 1,042 759 $576.90
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,592 1,493 $566.87
D2150 Silver amalgam - two surfaces, primary or permanent 14 12 $530.58
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18 13 $499.97
90648 1,754 1,324 $478.02
90658 191 172 $437.00
90688 977 917 $389.88
90744 454 376 $342.44
90723 422 307 $338.93
87400 26 25 $297.18
81000 259 231 $269.74
90700 1,187 879 $268.81
70450 Computed tomography, head or brain; without contrast material 12 12 $259.54
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 305 299 $249.58
90655 99 77 $221.60
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,508 1,421 $210.04
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,075 1,978 $205.29
90619 1,278 881 $197.25
99215 Prolong outpt/office vis 248 214 $182.05
96127 3,650 3,294 $177.39
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 897 867 $171.33
80053 Comprehensive metabolic panel 53 51 $130.41
D0140 Limited oral evaluation - problem focused 12 12 $119.85
84439 33 30 $96.27
85027 45 44 $92.55
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 43 38 $75.93
3725F 3,501 3,129 $70.00
86803 41 38 $42.81
99173 3,619 3,411 $33.98
96110 Developmental screening, with scoring and documentation, per standardized instrument 304 273 $16.05
90714 93 78 $16.01
96161 3,936 3,754 $13.79
86703 37 37 $11.84
80050 General health panel 48 48 $10.07
98962 275 250 $10.00
83036 Hemoglobin; glycosylated (A1C) 35 35 $7.28
91305 1,161 939 $0.65
91300 10,481 8,774 $0.17
90750 13 12 $0.10
99401 605 573 $0.02
1220F 139 136 $0.02
96150 1,193 1,143 $0.01
3078F 15,468 13,526 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 198 178 $0.00
99408 964 927 $0.00
99490 Ccm add 20min 300 274 $0.00
99347 206 185 $0.00
96152 195 184 $0.00
99051 357 347 $0.00
90832 Psychotherapy, 30 minutes with patient 121 120 $0.00
91312 1,574 1,087 $0.00
99199 Unlisted special service, procedure or report 42 41 $0.00
3077F 175 152 $0.00
99411 124 123 $0.00
3015F 50 43 $0.00
90623 20 12 $0.00
1159F 39 38 $0.00
90672 40 30 $0.00
90473 13 13 $0.00
1160F 38 37 $0.00
1158F 12 12 $0.00
91308 48 38 $0.00
3079F 4,145 3,704 $0.00
3048F 257 234 $0.00
3075F 4,517 4,010 $0.00
G0008 Administration of influenza virus vaccine 649 622 $0.00
3351F 4,157 3,810 $0.00
3074F 14,085 12,361 $0.00
3049F 92 87 $0.00
3352F 3,800 3,467 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 239 193 $0.00
92551 510 506 $0.00
1170F 14 13 $0.00
99050 192 185 $0.00
2010F 13 13 $0.00
80048 Basic metabolic panel (calcium, ionized) 14 14 $0.00
1036F 71 71 $0.00
3044F 787 706 $0.00
99368 134 114 $0.00
90834 Psychotherapy, 45 minutes with patient 146 139 $0.00
91307 277 266 $0.00
3008F 288 284 $0.00
2001F 13 13 $0.00
99349 81 81 $0.00
3066F 23 16 $0.00
82043 18 18 $0.00
3061F 103 91 $0.00
2000F 13 13 $0.00
1126F 13 12 $0.00
99385 14 14 $0.00
81005 14 14 $0.00
G0009 Administration of pneumococcal vaccine 36 36 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 16 16 $0.00
90647 15 15 $0.00
96151 12 12 $0.00