Medicaid Provider Spending

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

TIRADO-MONTIJO, RAFAEL

NPI: 1285947127 · MANATI, PR 00674 · Internal Medicine Physician · NPI assigned 07/21/2010

$1.23M
Total Medicaid Paid
9,736
Total Claims
6,565
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 109 $4K
2020 342 $19K
2021 779 $68K
2022 1,035 $82K
2023 3,157 $375K
2024 4,314 $680K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 472 299 $278K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,010 2,803 $265K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 568 378 $224K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,933 1,361 $164K
99070 2,074 1,313 $161K
45380 Colonoscopy, flexible; with biopsy, single or multiple 468 305 $135K
99223 Prolong inpt eval add15 m 22 14 $2K
99442 47 28 $558.64
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 142 64 $0.00