Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › MISSION › ALCANTAR, SALVADOR

ALCANTAR, SALVADOR

NPI: 1578509287 · MISSION, TX 78572 · 152W00000X

$160K
Total Medicaid Paid
2,688
Total Claims
2,680
Beneficiaries
6
Codes Billed
2023-03
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,106 $67K
2024 1,582 $93K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 375 375 $46K
S0620 Routine ophthalmological exa 938 938 $40K
S0621 Routine ophthalmological exa 945 944 $40K
92014 172 172 $17K
92012 213 206 $15K
92015 45 45 $711.64