Medicaid Provider Spending

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

PULIDO INTERNAL MEDICINE, LLC

NPI: 1407110042 · PALATKA, FL 32177 · Internal Medicine Physician · NPI assigned 06/28/2012

$2K
Total Medicaid Paid
1,913
Total Claims
1,371
Beneficiaries
7
Codes Billed
2020-02
First Month
2022-05
Last Month

Provider Details

Authorized OfficialPULIDO, ALEX (OWNER)
NPI Enumeration Date06/28/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 725 $634.98
2021 929 $1K
2022 259 $217.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99439 371 272 $578.31
99454 153 123 $382.40
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 196 91 $328.20
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 222 137 $241.14
99490 Ccm add 20min 612 457 $220.33
99457 304 243 $130.00
99458 55 48 $79.19