Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.

NPI: 1376561522 · SAN JUAN, PR 00917 · General Acute Care Hospital · NPI assigned 07/17/2006

$111K
Total Medicaid Paid
2,168
Total Claims
1,423
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMATTA, JORGE (ADMINISTRATOR)
NPI Enumeration Date07/17/2006

Related Entities

Other providers sharing the same authorized official: MATTA, JORGE

ProviderCityStateTotal Paid
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC. SAN JUAN PR $151K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 294 $6K
2019 336 $4K
2020 228 $6K
2021 15 $1K
2022 13 $597.90
2023 460 $29K
2024 822 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 807 426 $55K
99215 Prolong outpt/office vis 514 271 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 723 609 $13K
99442 98 91 $2K
96523 26 26 $218.24