Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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JUAN A MEDINA MEDICAL OFFICE PC

NPI: 1477868032 · FAR ROCKAWAY, NY 11691 · Primary Care Clinic/Center · NPI assigned 08/06/2010

OIG Excluded Provider · This provider appears on the HHS Office of Inspector General List of Excluded Individuals/Entities. Exclusion date: 06/20/2019.
$19K
Total Medicaid Paid
493
Total Claims
472
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialMEDINA, JUAN (PRESIDENT)
NPI Enumeration Date08/06/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 493 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 283 264 $19K
81002 99 99 $246.96
36415 Collection of venous blood by venipuncture 111 109 $0.00