Medicaid Provider Spending

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

RECINTO DE CIENCIAS MEDICAS

NPI: 1467524967 · SAN JUAN, PR 00929 · Nephrology Physician · NPI assigned 11/14/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TROCHE, MYRIAM controls 20+ related entities in our dataset. Read more

$1.18M
Total Medicaid Paid
22,661
Total Claims
19,645
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
Parent OrganizationRECINTO DE CIENCIAS MEDICAS-CAROLINA
NPI Enumeration Date11/14/2006

Related Entities

Other providers sharing the same authorized official: TROCHE, MYRIAM

ProviderCityStateTotal Paid
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $6.83M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $5.42M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $4.21M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.95M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $3.77M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.42M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $3.09M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.04M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $2.68M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $2.37M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $2.09M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $2.03M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $1.05M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $1.01M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $954K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $885K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $879K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $839K
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $822K
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $767K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,016 $248K
2019 3,281 $186K
2020 3,549 $88K
2021 3,554 $132K
2022 2,598 $78K
2023 4,147 $331K
2024 1,516 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99245 8,224 7,351 $272K
99232 Subsequent hospital care, per day, moderate complexity 2,677 2,315 $267K
99233 Prolong inpt eval add15 m 2,480 2,160 $258K
99223 Prolong inpt eval add15 m 2,703 2,369 $141K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 978 661 $75K
99238 Hospital discharge day management, 30 minutes or less 3,581 3,152 $69K
99231 Subsequent hospital care, per day, straightforward or low complexity 619 555 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 532 370 $31K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 824 669 $6K
99241 14 14 $483.50
93000 29 29 $435.00