Medicaid Provider Spending

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

TOA ALTA FAMILY CLINIC LLC

NPI: 1326535006 · TOA ALTA, PR 00953 · General Practice Physician · NPI assigned 04/18/2018

$1K
Total Medicaid Paid
56,634
Total Claims
38,872
Beneficiaries
53
Codes Billed
2023-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHEVRES, ITZA (OWNER)
NPI Enumeration Date04/18/2018

Related Entities

Other providers sharing the same authorized official: CHEVRES, ITZA

ProviderCityStateTotal Paid
POLICLINICA LA FAMILIA TOA ALTA, INC. TOA ALTA PR $47K
FAMILY HEALTH CLINIC OF CARIBBEAN, INC TOA ALTA PR $7K
CENTRO IMAGENES RADIOLOGIA TOA ALTA TOA ALTA PR $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 18,951 $1K
2024 37,683 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 182 176 $1K
3725F 1,506 1,016 $0.00
99442 4,666 3,265 $0.00
4035F 4,340 2,887 $0.00
3050F 232 145 $0.00
4013F 2,124 1,465 $0.00
0521F 639 458 $0.00
3078F 409 293 $0.00
1159F 3,799 2,736 $0.00
3077F 223 175 $0.00
1160F 3,741 2,671 $0.00
1158F 1,645 1,013 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 162 100 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 250 155 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 458 259 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $0.00
2028F 12 12 $0.00
99397 33 17 $0.00
1030F 492 480 $0.00
1125F 1,214 828 $0.00
3014F 137 90 $0.00
3066F 34 24 $0.00
1126F 2,956 2,157 $0.00
3017F 562 402 $0.00
1036F 3,483 2,472 $0.00
3353F 175 101 $0.00
4008F 545 368 $0.00
1170F 1,212 670 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,952 5,756 $0.00
3044F 150 125 $0.00
3008F 4,493 3,165 $0.00
1157F 1,730 1,085 $0.00
4010F 2,462 1,752 $0.00
3049F 381 264 $0.00
3048F 925 641 $0.00
3351F 435 276 $0.00
3352F 507 323 $0.00
3079F 111 91 $0.00
3061F 202 166 $0.00
99386 86 74 $0.00
99385 73 54 $0.00
3075F 64 52 $0.00
3080F 17 17 $0.00
3754F 170 105 $0.00
3074F 214 151 $0.00
3271F 68 40 $0.00
99441 57 56 $0.00
3060F 13 12 $0.00
1022F 105 101 $0.00
4015F 13 13 $0.00
3268F 75 44 $0.00
1034F 68 42 $0.00
3354F 17 17 $0.00