Medicaid Provider Spending

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

PEDIATRIC NEUROMUSCULAR LLC

NPI: 1295408029 · SAN JUAN, PR 00912 · Neuromuscular Medicine (Psychiatry & Neurology) Physician · NPI assigned 07/28/2021

$71K
Total Medicaid Paid
516
Total Claims
415
Beneficiaries
5
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMONTALVO ACEVEDO, ALEXANDRA (PRESIDENT)
NPI Enumeration Date07/28/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 89 $11K
2023 247 $39K
2024 180 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 251 218 $42K
99215 Prolong outpt/office vis 105 92 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 94 61 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45 32 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21 12 $2K