MEDICAL PHARMACY AND LAB
NPI: 1578772356
· SAN JUAN, PR 00921
· 302F00000X
$2.60M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
98,671 |
$130K |
| 2019 |
111,768 |
$441K |
| 2020 |
70,111 |
$449K |
| 2021 |
98,428 |
$442K |
| 2022 |
107,278 |
$579K |
| 2023 |
123,381 |
$400K |
| 2024 |
151,377 |
$158K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96160 |
|
92,003 |
79,973 |
$1.29M |
| 99212 |
|
463,040 |
357,986 |
$568K |
| A0130 |
Noner transport wheelch van |
8,192 |
429 |
$251K |
| 99050 |
|
59,632 |
50,821 |
$194K |
| A0110 |
Nonemergency transport bus |
5,672 |
353 |
$105K |
| 99441 |
|
99,429 |
82,759 |
$81K |
| S0215 |
Nonemerg transp mileage |
13,248 |
769 |
$72K |
| 99202 |
|
15,398 |
14,528 |
$29K |
| 93000 |
|
3,688 |
3,482 |
$5K |
| 99349 |
|
198 |
175 |
$183.80 |
| 99205 |
Prolong outpt/office vis |
86 |
83 |
$47.00 |
| 99341 |
|
15 |
15 |
$40.58 |
| 99347 |
|
60 |
60 |
$40.00 |
| 99215 |
Prolong outpt/office vis |
196 |
195 |
$35.00 |
| 99342 |
|
76 |
72 |
$0.00 |
| 99442 |
|
43 |
28 |
$0.00 |
| 99348 |
|
38 |
26 |
$0.00 |