Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › CIDRA › COSSMA INC

COSSMA INC

NPI: 1437235793 · CIDRA, PR 00739 · Multi-Specialty Clinic/Center · NPI assigned 10/30/2006

$2.91M
Total Medicaid Paid
1,349,264
Total Claims
1,095,969
Beneficiaries
225
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMIRANDA, ISOLINA (EXECUTIVE DIRECTOR)
NPI Enumeration Date10/30/2006

Related Entities

Other providers sharing the same authorized official: MIRANDA, ISOLINA

ProviderCityStateTotal Paid
COSSMA, INC. HUMACAO PR $574K
COSSMA, INC. SAN LORENZO PR $58K
COSSMA, INC. LAS PIEDRAS RI $26K
COSSMA, INC. LAS PIEDRAS PR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 143,234 $410K
2019 118,626 $242K
2020 107,607 $249K
2021 141,466 $370K
2022 199,716 $536K
2023 310,544 $634K
2024 328,071 $470K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 172,499 135,737 $440K
D1110 Prophylaxis - adult 10,336 8,772 $281K
D1999 13,668 11,233 $204K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27,522 22,409 $201K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30,320 24,987 $154K
90472 Immunization administration, each additional vaccine (list separately) 13,330 11,189 $153K
D0120 Periodic oral evaluation - established patient 8,722 7,387 $119K
D0272 Bitewings - two radiographic images 8,210 7,098 $117K
92002 2,765 2,275 $105K
D2150 Silver amalgam - two surfaces, primary or permanent 2,121 1,505 $75K
D1208 Topical application of fluoride, excluding varnish 4,364 3,858 $61K
D0150 Comprehensive oral evaluation - new or established patient 3,300 3,046 $61K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,489 1,080 $60K
D0330 Panoramic radiographic image 1,945 1,754 $54K
92015 Determination of refractive state 3,455 2,839 $53K
97802 2,957 2,448 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 984 924 $44K
D0220 Intraoral - periapical first radiographic image 5,924 5,038 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,648 20,185 $39K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,862 1,706 $38K
D1120 Prophylaxis - child 2,071 1,927 $36K
D0230 Intraoral - periapical each additional radiographic image 4,469 3,697 $35K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 2,647 2,378 $28K
D2160 722 580 $28K
99442 10,433 9,396 $24K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,390 281 $22K
D2140 814 585 $21K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,007 861 $20K
96160 10,664 9,501 $19K
97803 1,840 1,468 $18K
D0140 Limited oral evaluation - problem focused 1,215 1,052 $18K
90686 10,390 8,041 $18K
99443 2,084 1,930 $16K
0001A 857 724 $16K
0002A 521 500 $16K
90832 Psychotherapy, 30 minutes with patient 4,000 3,663 $14K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 313 283 $13K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 293 105 $12K
D7140 Extraction, erupted tooth or exposed root 466 326 $11K
99441 8,394 7,582 $11K
0012A 317 298 $11K
90670 2,741 2,440 $11K
0011A 389 322 $10K
D2335 222 159 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 316 211 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 762 124 $8K
D1351 Sealant - per tooth 430 119 $6K
97116 959 101 $6K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 392 258 $5K
0004A 133 130 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 98 67 $5K
0071A 236 236 $4K
36415 Collection of venous blood by venipuncture 4,068 3,416 $4K
D2330 134 90 $3K
0072A 205 203 $3K
0124A 77 60 $3K
80061 Lipid panel 1,290 1,114 $3K
D2940 170 147 $3K
D9996 211 209 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,895 2,538 $3K
84443 Thyroid stimulating hormone (TSH) 1,042 914 $3K
80053 Comprehensive metabolic panel 1,530 1,324 $3K
D2331 78 60 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,244 1,182 $2K
90649 1,768 1,517 $2K
90671 89 74 $2K
0064A 44 43 $2K
D2332 50 45 $2K
D2161 40 37 $2K
90791 Psychiatric diagnostic evaluation 649 623 $2K
99232 Subsequent hospital care, per day, moderate complexity 143 112 $2K
D0210 Intraoral - complete series of radiographic images 42 42 $2K
97124 188 13 $2K
94664 167 158 $1K
0003A 38 36 $1K
90732 84 78 $1K
59025 Fetal non-stress test 61 36 $1K
99238 Hospital discharge day management, 30 minutes or less 141 125 $1K
83036 Hemoglobin; glycosylated (A1C) 838 729 $1K
S9083 Global fee urgent care centers 233 191 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 487 357 $1K
95115 286 175 $993.36
81000 1,631 1,397 $940.06
82045 254 228 $907.84
D9995 69 69 $888.00
86703 616 562 $855.87
90716 1,100 997 $803.06
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,199 2,745 $717.30
90715 1,086 902 $574.82
86580 1,921 1,800 $539.05
0013A 13 13 $520.00
90707 977 904 $482.81
87110 24 24 $429.37
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,535 1,313 $426.42
90734 1,287 1,190 $409.86
90633 1,566 1,436 $387.37
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,538 3,064 $337.20
94760 298 280 $285.00
3078F 19,139 15,967 $280.00
96127 1,808 1,354 $270.32
90651 291 248 $264.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,102 3,484 $207.15
95117 546 218 $202.89
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 194 178 $185.79
3074F 16,334 13,531 $150.00
77067 Screening mammography, bilateral, including computer-aided detection 99 59 $131.23
86803 306 293 $110.97
71046 Radiologic examination, chest; 2 views 220 130 $95.11
99349 70 67 $91.90
90834 Psychotherapy, 45 minutes with patient 338 325 $85.22
90723 424 363 $79.00
3048F 10,123 8,526 $70.01
3044F 8,342 7,125 $50.00
3077F 3,563 3,231 $42.00
86592 364 350 $40.59
3079F 6,854 6,078 $36.00
90647 298 251 $31.00
87276 699 671 $28.12
1158F 3,013 2,657 $28.00
82274 92 89 $17.67
99173 21,763 20,767 $11.32
3049F 3,444 2,891 $6.00
90700 253 217 $6.00
90648 375 331 $6.00
D1330 177 105 $0.32
1006F 35 35 $0.22
4045F 76 68 $0.20
91300 2,982 2,624 $0.19
1160F 181,282 142,713 $0.12
1159F 191,829 151,547 $0.12
3008F 199,963 159,060 $0.11
1036F 20,064 11,692 $0.11
4018F 12 12 $0.09
4133F 31 25 $0.04
4551F 103 97 $0.04
91301 948 841 $0.02
3075F 4,655 4,010 $0.00
3017F 3,969 3,488 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 28 28 $0.00
1125F 9,500 7,790 $0.00
3014F 578 565 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 74 74 $0.00
82043 29 29 $0.00
90698 846 775 $0.00
1220F 2,875 2,826 $0.00
1126F 18,393 14,542 $0.00
3700F 44 26 $0.00
3061F 2,651 2,283 $0.00
1030F 2,584 2,318 $0.00
3011F 938 918 $0.00
3080F 511 475 $0.00
87088 193 187 $0.00
4016F 257 236 $0.00
D1310 159 105 $0.00
1170F 1,269 1,051 $0.00
84436 157 155 $0.00
99283 Emergency department visit for the evaluation and management, moderate severity 193 191 $0.00
3754F 551 543 $0.00
1034F 1,058 662 $0.00
1111F 888 640 $0.00
D1320 75 57 $0.00
3292F 44 44 $0.00
4010F 2,931 2,223 $0.00
4008F 1,052 723 $0.00
90792 Psychiatric diagnostic evaluation with medical services 55 52 $0.00
90744 446 410 $0.00
90620 522 463 $0.00
90696 234 215 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 264 254 $0.00
86738 231 224 $0.00
99406 898 645 $0.00
90680 137 131 $0.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 218 127 $0.00
84479 162 160 $0.00
82607 56 54 $0.00
4000F 204 179 $0.00
G0008 Administration of influenza virus vaccine 118 118 $0.00
1031F 510 465 $0.00
90657 249 228 $0.00
4086F 102 95 $0.00
3351F 79 79 $0.00
85730 56 56 $0.00
3060F 27 27 $0.00
86593 73 63 $0.00
1000F 81 75 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 15 $0.00
D0603 26 17 $0.00
90619 57 43 $0.00
4015F 13 12 $0.00
81001 19 17 $0.00
3066F 14 14 $0.00
1032F 7,850 6,354 $0.00
1033F 85,035 75,599 $0.00
3725F 32,317 28,147 $0.00
3050F 1,196 1,086 $0.00
87400 127 126 $0.00
85610 55 55 $0.00
1039F 94 67 $0.00
0521F 4,040 3,021 $0.00
4019F 44 40 $0.00
4013F 2,524 1,909 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 76 76 $0.00
4004F 675 395 $0.00
3342F 92 90 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 435 312 $0.00
1175F 1,244 880 $0.00
2028F 127 125 $0.00
90681 404 334 $0.00
0518F 56 53 $0.00
4001F 101 88 $0.00
90621 62 59 $0.00
3046F 12 12 $0.00
91308 12 12 $0.00
84439 55 55 $0.00
91312 101 74 $0.00
72100 13 13 $0.00
3045F 12 12 $0.00
3051F 12 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 12 $0.00
3274F 14 13 $0.00
99347 14 14 $0.00
99215 Prolong outpt/office vis 72 72 $0.00
3095F 12 12 $0.00
82570 13 13 $0.00
90750 18 18 $0.00