Medicaid Provider Spending

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

METRO MEDICAL HEALTH GROUP, INC.

NPI: 1336214485 · BAYAMON, PR 00960 · Exclusive Provider Organization · NPI assigned 11/22/2006

$3K
Total Medicaid Paid
10,547
Total Claims
9,419
Beneficiaries
24
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCANDELAS, HECTOR (PRESIDENT)
NPI Enumeration Date11/22/2006

Related Entities

Other providers sharing the same authorized official: CANDELAS, HECTOR

ProviderCityStateTotal Paid
MED CARIBE CSP SAN JUAN PR $137K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 636 $0.04
2019 1,983 $75.50
2020 795 $343.96
2021 639 $345.39
2022 871 $0.00
2023 2,691 $2K
2024 2,932 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,753 5,833 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 113 109 $1K
1159F 175 172 $0.00
1160F 175 172 $0.00
3078F 426 394 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 55 55 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 71 67 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 33 27 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 12 $0.00
96160 20 17 $0.00
99442 78 76 $0.00
99173 31 28 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $0.00
3074F 841 792 $0.00
3008F 553 516 $0.00
3079F 414 394 $0.00
99441 139 134 $0.00
1170F 316 290 $0.00
96127 250 246 $0.00
92551 23 19 $0.00
1126F 15 15 $0.00
3075F 12 12 $0.00
1125F 14 14 $0.00
3044F 12 12 $0.00