Medicaid Provider Spending

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

TORRES HERNANDEZ, MARLENE

NPI: 1437139508 · SAN SEBASTIAN, PR 00685 · General Practice Physician · NPI assigned 01/17/2006

$19K
Total Medicaid Paid
17,185
Total Claims
15,051
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,809 $17K
2019 2,339 $150.00
2020 1,631 $655.26
2021 2,523 $357.00
2022 2,706 $0.00
2023 2,840 $275.40
2024 2,337 $688.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 544 367 $16K
99215 Prolong outpt/office vis 3,633 3,119 $1K
99442 646 541 $831.68
3078F 3,072 2,660 $288.40
3074F 3,082 2,666 $269.20
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 69 50 $180.58
99205 Prolong outpt/office vis 111 105 $165.50
1157F 406 384 $38.22
1158F 407 384 $38.22
3044F 326 314 $4.90
3048F 66 61 $1.96
3008F 2,726 2,428 $0.00
3017F 122 110 $0.00
1170F 270 256 $0.00
3061F 147 137 $0.00
1125F 271 258 $0.00
96156 102 101 $0.00
1030F 17 16 $0.00
1159F 283 269 $0.00
1160F 284 271 $0.00
2028F 276 246 $0.00
0521F 271 258 $0.00
3050F 13 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 12 $0.00
3288F 27 26 $0.00