Medicaid Provider Spending

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

IRIZARRY, HECTOR

NPI: 1417152836 · GUAYANILLA, PR 00656 · General Practice Physician · NPI assigned 06/16/2007

$6K
Total Medicaid Paid
10,843
Total Claims
9,837
Beneficiaries
18
Codes Billed
2018-11
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63 $219.00
2019 887 $0.00
2020 1,011 $2K
2021 1,181 $1K
2022 1,849 $135.00
2023 3,684 $2K
2024 2,168 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99441 797 719 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 352 318 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,061 3,547 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 190 176 $173.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 28 $59.00
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 15 13 $32.79
3074F 1,807 1,655 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 332 318 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 159 151 $0.00
1170F 109 105 $0.00
3048F 42 42 $0.00
1125F 122 117 $0.00
1126F 67 64 $0.00
3078F 1,808 1,655 $0.00
3725F 441 438 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 321 310 $0.00
1160F 65 62 $0.00
1159F 126 119 $0.00