Medicaid Provider Spending

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

PRIMARY MEDICAL CENTER INC

NPI: 1417927898 · PONCE, PR 00717 · Family Medicine Physician · NPI assigned 01/26/2006

$193K
Total Medicaid Paid
204,190
Total Claims
159,675
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHEVERE, SERGIO (PRESIDENTE)
NPI Enumeration Date01/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,125 $80K
2019 27,484 $4K
2020 17,406 $7K
2021 23,623 $23K
2022 24,255 $31K
2023 41,832 $47K
2024 41,465 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 132,785 103,036 $85K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,934 1,853 $59K
99336 266 119 $12K
99348 413 296 $11K
99347 465 238 $9K
90688 359 351 $6K
90686 293 277 $6K
99441 17,283 14,492 $1K
99442 1,571 1,383 $1K
96160 921 756 $551.73
93000 457 433 $464.43
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 116 113 $430.72
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 381 308 $399.56
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 111 105 $315.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 428 337 $180.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 867 708 $158.76
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 2,914 2,639 $118.98
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 38 13 $38.34
96127 3,063 2,740 $21.18
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 153 135 $19.18
3074F 11,938 8,574 $0.00
90834 Psychotherapy, 45 minutes with patient 881 727 $0.00
3079F 2,768 2,020 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,674 1,174 $0.00
3075F 2,076 1,535 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $0.00
1030F 42 42 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 36 35 $0.00
G0008 Administration of influenza virus vaccine 493 472 $0.00
99383 92 90 $0.00
3080F 228 162 $0.00
1170F 46 44 $0.00
99384 89 85 $0.00
86580 225 196 $0.00
99368 119 119 $0.00
1111F 30 16 $0.00
99402 13 13 $0.00
93784 1,952 1,816 $0.00
3078F 12,741 9,126 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 291 257 $0.00
90791 Psychiatric diagnostic evaluation 414 381 $0.00
3077F 1,839 1,293 $0.00
90832 Psychotherapy, 30 minutes with patient 14 12 $0.00
3725F 323 300 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 151 94 $0.00
83655 127 97 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 62 59 $0.00
99221 90 85 $0.00
99231 Subsequent hospital care, per day, straightforward or low complexity 60 49 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $0.00
90837 Psychotherapy, 53 minutes with patient 71 67 $0.00
1158F 16 16 $0.00
99408 291 217 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 17 17 $0.00
99238 Hospital discharge day management, 30 minutes or less 95 87 $0.00
99401 16 15 $0.00
99499 14 13 $0.00
99382 13 13 $0.00