Medicaid Provider Spending

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

PRIME MEDICAL CENTER CSP

NPI: 1407563018 · MAUNABO, PR 00707 · Public Health & General Preventive Medicine Physician · NPI assigned 11/02/2022

$372.30
Total Medicaid Paid
17
Total Claims
17
Beneficiaries
1
Codes Billed
2023-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCADIZ MIRANDA, PEDRO (GENERAL PRACTICE)
NPI Enumeration Date11/02/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 17 $372.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 17 17 $372.30