Medicaid Provider Spending

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

CDT DE CANOVANAS

NPI: 1447391685 · CANOVANAS, PR 00729 · Emergency Care Clinic/Center · NPI assigned 02/09/2007

$728K
Total Medicaid Paid
39,853
Total Claims
37,100
Beneficiaries
25
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialSOTOMAYOR, EDUARDO (ADMINISTRADOR)
NPI Enumeration Date02/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,322 $360K
2019 9,110 $250K
2020 7,474 $35K
2021 10,159 $83K
2022 788 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99051 21,926 20,160 $636K
G9012 Other specified case management service not elsewhere classified 1,986 1,907 $48K
90461 1,749 1,647 $18K
90460 Immunization administration through 18 years of age via any route, first or only component 2,512 2,359 $15K
99429 7,570 7,290 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 326 273 $1K
90621 90 73 $48.00
90715 264 235 $22.00
90620 143 99 $18.00
90649 623 572 $14.00
90733 511 478 $14.00
90633 163 162 $6.00
90707 242 231 $6.00
90681 146 141 $4.00
90670 407 379 $4.00
90716 141 133 $4.00
90698 264 245 $4.00
90630 109 107 $0.00
90700 61 55 $0.00
90685 24 24 $0.00
90472 Immunization administration, each additional vaccine (list separately) 43 30 $0.00
90744 118 118 $0.00
90686 377 325 $0.00
90647 14 14 $0.00
90696 44 43 $0.00