Medicaid Provider Spending

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

GRUPO MEDICINA PRIMARIA DE COROZAL, INC.

NPI: 1407092208 · COROZAL, PR 00783 · Health Maintenance Organization · NPI assigned 12/29/2008

$54K
Total Medicaid Paid
158,576
Total Claims
111,758
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialORTIZ, MIGUEL (PRESIDENT)
NPI Enumeration Date12/29/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,947 $493.08
2019 13,769 $106.09
2020 14,253 $9K
2021 20,108 $14K
2022 24,941 $22K
2023 26,018 $8K
2024 38,540 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,204 7,822 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 66,235 46,861 $962.85
99050 9,246 7,813 $176.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,751 15,140 $152.20
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 277 221 $32.47
99442 60 56 $12.68
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,154 972 $12.68
3078F 2,884 1,680 $0.00
2022F 77 66 $0.00
1160F 8,879 5,574 $0.00
1159F 8,894 5,582 $0.00
0521F 79 67 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 37 37 $0.00
3040F 75 65 $0.00
1090F 133 113 $0.00
1158F 128 93 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 36 36 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 44 44 $0.00
0518F 92 83 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 22 22 $0.00
3074F 8,600 5,331 $0.00
3079F 5,862 3,759 $0.00
3044F 5,760 3,709 $0.00
99441 1,473 1,205 $0.00
3008F 2,829 1,644 $0.00
1126F 330 205 $0.00
1125F 1,276 830 $0.00
1170F 2,647 1,612 $0.00
3061F 173 120 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 594 480 $0.00
3017F 186 109 $0.00
3075F 201 120 $0.00
3049F 133 115 $0.00
1101F 18 17 $0.00
3060F 84 75 $0.00
3048F 23 12 $0.00
1157F 80 68 $0.00