Medicaid Provider Spending

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

RECINTO DE CIENCIAS MEDICAS

NPI: 1568565547 · SAN JUAN, PR 00936 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI assigned 09/06/2006

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

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

$879K
Total Medicaid Paid
17,073
Total Claims
12,804
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
NPI Enumeration Date09/06/2006

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 $1.18M
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 $839K
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $822K
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $767K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,775 $96K
2019 3,010 $76K
2020 1,183 $55K
2021 2,073 $117K
2022 2,380 $130K
2023 2,208 $187K
2024 2,444 $218K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,621 7,979 $434K
31575 3,728 2,778 $286K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,557 1,347 $78K
99233 Prolong inpt eval add15 m 298 82 $27K
31579 279 161 $25K
99284 Emergency department visit for the evaluation and management, high severity 111 79 $13K
92588 96 76 $5K
99221 56 54 $4K
92557 98 80 $3K
31231 16 14 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 30 24 $993.54
92568 81 57 $865.12
92567 89 61 $635.96
69210 13 12 $191.28