Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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RMC ORTHOPEDIC & SURGICAL, INC.

NPI: 1568415834 · GUAYNABO, PR 00969 · Prosthetic/Orthotic Supplier · NPI assigned 05/18/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code L8699 with only 2 total codes billed. Highly concentrated billing profile.

$7.53M
Total Medicaid Paid
4,534
Total Claims
3,551
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, NELSON (PRESIDENT)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, NELSON

ProviderCityStateTotal Paid
INTEGRATED CARDIOVASCULAR SERVICES GROUP LLC SAN GERMAN PR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 533 $930K
2019 490 $955K
2020 479 $727K
2021 644 $960K
2022 644 $1.01M
2023 702 $1.24M
2024 1,042 $1.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L8699 Prosthetic implant, not otherwise specified 4,402 3,486 $7.50M
L9900 Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code 132 65 $26K