Medicaid Provider Spending

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

BOLANOS SURGICAL SERVICES,C.S.P.

NPI: 1548599525 · PONCE, PR 00716 · Surgical Critical Care Physician · NPI assigned 12/21/2009

$322K
Total Medicaid Paid
15,913
Total Claims
14,621
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOLANOS-AVILA, GUILLERMO (PRESIDENT)
NPI Enumeration Date12/21/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,140 $59K
2019 1,886 $34K
2020 953 $43K
2021 971 $44K
2022 1,913 $52K
2023 3,182 $76K
2024 868 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,727 3,406 $131K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,003 975 $75K
47562 81 72 $44K
99243 1,307 1,209 $43K
99221 140 113 $9K
99232 Subsequent hospital care, per day, moderate complexity 246 107 $6K
99244 Office or other outpatient consultation, moderate to high complexity 111 110 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 160 154 $3K
99222 Initial hospital care, per day, moderate complexity 56 49 $3K
99254 43 40 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 104 96 $554.48
99253 12 12 $420.00
99024 124 112 $330.34
99284 Emergency department visit for the evaluation and management, high severity 13 13 $156.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 896 838 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,065 2,797 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,882 1,736 $0.00
3078F 51 51 $0.00
4004F 79 73 $0.00
1036F 2,305 2,169 $0.00
3008F 87 85 $0.00
G9197 Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis 40 40 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 276 259 $0.00
3079F 17 17 $0.00
3074F 50 50 $0.00
3014F 12 12 $0.00
3075F 26 26 $0.00