Medicaid Provider Spending

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

NPI: 1306071451 · CAROLINA, PR 00979 · Radiology Clinic/Center · NPI assigned 05/19/2009

$167.85
Total Medicaid Paid
16
Total Claims
16
Beneficiaries
1
Codes Billed
2018-02
First Month
2018-02
Last Month

Provider Details

Authorized OfficialCARRASQUILLO, ALEX (ADMINISTRATOR)
NPI Enumeration Date05/19/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16 $167.85

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 16 16 $167.85