Medicaid Provider Spending

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

INTERNAL MEDICINE SERVICE

NPI: 1427470376 · AIBONITO, PR 00705 · Internal Medicine Physician · NPI assigned 01/13/2014

$1K
Total Medicaid Paid
329
Total Claims
328
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialPOLANCO, VICTOR (OWNER)
NPI Enumeration Date01/13/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 329 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90688 49 49 $731.44
90686 40 40 $723.14
3078F 20 20 $0.00
1160F 25 25 $0.00
1159F 25 25 $0.00
3048F 12 12 $0.00
3008F 25 25 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31 30 $0.00
G0008 Administration of influenza virus vaccine 88 88 $0.00
3074F 14 14 $0.00