Medicaid Provider Spending

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

SALUD INTEGRAL EN LA MONTANA, INC

NPI: 1487677159 · OROCOVIS, PR 00720 · 261QF0400X

$939K
Total Medicaid Paid
314,565
Total Claims
279,549
Beneficiaries
120
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,408 $305K
2019 40,972 $418K
2020 20,711 $59K
2021 33,447 $60K
2022 42,359 $60K
2023 89,060 $34K
2024 50,608 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99051 6,663 6,369 $367K
S9088 Services provided in urgent 8,957 7,949 $250K
99213 79,758 65,614 $164K
90471 5,547 4,964 $34K
90472 2,670 2,465 $28K
97802 912 868 $24K
97803 1,178 1,102 $14K
99442 3,007 2,689 $12K
Q0091 Obtaining screen pap smear 1,067 1,019 $12K
90732 67 65 $5K
90834 1,160 996 $5K
99441 5,123 4,538 $5K
99212 3,023 2,551 $4K
99214 900 826 $3K
99391 837 751 $2K
93000 1,150 1,099 $1K
99394 737 690 $810.00
99393 1,643 1,538 $793.80
76830 14 14 $792.03
99348 12 12 $717.88
G0101 Ca screen;pelvic/breast exam 526 416 $716.00
99392 2,056 1,934 $684.74
90656 462 388 $438.48
71046 101 99 $433.22
90651 854 809 $426.18
90686 1,875 1,611 $397.61
90670 1,051 989 $375.58
90716 521 500 $338.90
90791 65 42 $293.42
96127 4,716 4,401 $273.80
90707 490 468 $226.50
90734 621 587 $199.93
90648 660 618 $160.00
99203 12 12 $150.00
90633 490 460 $92.00
76856 24 24 $79.54
90723 337 320 $68.00
99381 13 12 $67.24
90696 93 88 $64.00
90681 176 157 $52.00
90688 431 416 $49.60
94664 685 665 $45.01
96160 2,686 2,285 $32.62
90715 262 253 $32.00
90680 37 33 $28.00
90698 171 165 $20.00
96110 458 439 $16.02
90685 111 104 $16.01
90700 112 109 $16.00
96161 553 540 $11.76
90620 116 106 $8.00
90674 65 63 $8.00
90744 19 19 $3.73
3725F 20,350 17,716 $0.00
1159F 27,469 24,940 $0.00
99408 95 95 $0.00
98968 42 37 $0.00
G8417 Calc bmi abv up param f/u 3,102 2,894 $0.00
99401 1,572 1,316 $0.00
2028F 354 334 $0.00
1160F 27,361 24,837 $0.00
3078F 10,562 9,528 $0.00
3077F 1,044 997 $0.00
G8598 Asa/antiplat ther used 289 262 $0.00
4013F 924 855 $0.00
M1055 Aspirin used 15 15 $0.00
90832 150 122 $0.00
99396 191 178 $0.00
1158F 1,537 1,433 $0.00
99215 Prolong outpt/office vis 289 261 $0.00
3062F 32 26 $0.00
G8431 Pos clin depres scrn f/u doc 14 14 $0.00
3050F 112 106 $0.00
99395 99 97 $0.00
3015F 34 32 $0.00
99397 16 16 $0.00
99382 34 33 $0.00
90621 43 39 $0.00
1126F 13,745 12,536 $0.00
3074F 9,613 8,743 $0.00
G8510 Scr dep neg, no plan reqd 4,982 4,642 $0.00
3008F 6,791 6,194 $0.00
1125F 7,450 6,909 $0.00
1000F 3,767 3,473 $0.00
3049F 190 182 $0.00
99368 470 440 $0.00
90650 16 16 $0.00
3079F 4,128 3,899 $0.00
3014F 66 63 $0.00
96150 6,445 6,146 $0.00
3075F 3,370 3,151 $0.00
3048F 567 542 $0.00
1036F 3,586 3,310 $0.00
G8420 Calc bmi norm parameters 3,808 3,532 $0.00
12002 31 31 $0.00
4010F 1,653 1,546 $0.00
G8418 Calc bmi blw low param f/u 255 250 $0.00
99050 193 185 $0.00
99202 72 62 $0.00
3011F 400 392 $0.00
99383 43 43 $0.00
99443 21 19 $0.00
3017F 136 136 $0.00
1111F 16 16 $0.00
G0008 Admin influenza virus vac 252 224 $0.00
1170F 329 314 $0.00
1035F 36 35 $0.00
12004 61 61 $0.00
4000F 141 140 $0.00
2000F 297 271 $0.00
G0328 Fecal blood scrn immunoassay 242 230 $0.00
99384 20 20 $0.00
99070 165 165 $0.00
3060F 13 13 $0.00
G0009 Admin pneumococcal vaccine 59 59 $0.00
1034F 44 40 $0.00
76700 13 13 $0.00
71045 14 13 $0.00
3044F 13 13 $0.00
96156 48 46 $0.00