Medicaid Provider Spending

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

RECINTO DE CIENCIAS MEDICAS

NPI: 1326189242 · CAROLINA, PR 00929 · Gastroenterology Physician · NPI assigned 02/12/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TROCHE, MYRIAM controls 20+ related entities in our dataset. Read more

$346K
Total Medicaid Paid
5,594
Total Claims
4,819
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
Parent OrganizationRECINTO DE CIENCIAS MEDICAS
NPI Enumeration Date02/12/2007

Related Entities

Other providers sharing the same authorized official: TROCHE, MYRIAM

ProviderCityStateTotal Paid
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $6.83M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $5.42M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $4.21M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.95M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $3.77M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.42M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $3.09M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.04M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $2.68M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $2.37M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $2.09M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $2.03M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $1.18M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $1.05M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $1.01M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $954K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $885K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $879K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $839K
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $822K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,412 $52K
2019 1,082 $34K
2020 486 $18K
2021 611 $41K
2022 843 $79K
2023 998 $107K
2024 162 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,014 1,474 $187K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,458 2,355 $62K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 326 226 $41K
99245 690 658 $31K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 67 67 $14K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 26 26 $7K
45388 13 13 $4K