Medicaid Provider Spending

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

NPI: 1386199032 · CAGUAS, PR 00725 · Medical Specialty Clinic/Center · NPI assigned 08/23/2016

$55K
Total Medicaid Paid
1,861
Total Claims
1,445
Beneficiaries
3
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCARVAJAL DIAZ, NICOLE (PRESIDENT)
NPI Enumeration Date08/23/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 468 $9K
2019 835 $15K
2020 90 $2K
2021 41 $463.58
2022 19 $320.20
2023 55 $1K
2024 353 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 394 201 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 663 571 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 804 673 $11K