Medicaid Provider Spending

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

GRUPO SAN MATEO, LLC

NPI: 1295293991 · SAN JUAN, PR 00909 · Nutritionist · NPI assigned 03/12/2019

$5K
Total Medicaid Paid
49
Total Claims
49
Beneficiaries
3
Codes Billed
2021-06
First Month
2023-04
Last Month

Provider Details

Authorized OfficialEGUIA, VASCO (PRESIDENT OWNER)
NPI Enumeration Date03/12/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 35 $4K
2023 14 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 18 18 $3K
99215 Prolong outpt/office vis 17 17 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 14 $1K