JACAGUAX MEDICAL CENTER
NPI: 1588798862
· JUANA DIAZ, PR 00795
· Clinic/Center
· NPI assigned 03/16/2007
$489.35
Total Medicaid Paid
Provider Details
| Authorized Official | DOMINGUEZ, CARLOS (MEDICO DE FAMILIA) |
| NPI Enumeration Date | 03/16/2007 |
Related Entities
Other providers sharing the same authorized official: DOMINGUEZ, CARLOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
789 |
$52.00 |
| 2019 |
700 |
$38.36 |
| 2020 |
268 |
$25.68 |
| 2021 |
325 |
$169.85 |
| 2022 |
349 |
$64.94 |
| 2023 |
1,090 |
$138.52 |
| 2024 |
1,619 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,210 |
1,795 |
$319.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
324 |
272 |
$169.85 |
| 3074F |
|
479 |
381 |
$0.00 |
| 1170F |
|
218 |
174 |
$0.00 |
| 3079F |
|
170 |
125 |
$0.00 |
| 3075F |
|
111 |
85 |
$0.00 |
| 98962 |
|
53 |
53 |
$0.00 |
| 1157F |
|
206 |
162 |
$0.00 |
| 2001F |
|
73 |
67 |
$0.00 |
| 3008F |
|
73 |
67 |
$0.00 |
| 2010F |
|
73 |
67 |
$0.00 |
| 1126F |
|
92 |
75 |
$0.00 |
| 99441 |
|
14 |
13 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |
| 3725F |
|
45 |
45 |
$0.00 |
| 1160F |
|
208 |
163 |
$0.00 |
| 1158F |
|
206 |
162 |
$0.00 |
| 3078F |
|
322 |
267 |
$0.00 |
| 1159F |
|
208 |
163 |
$0.00 |
| 96160 |
|
21 |
21 |
$0.00 |
| 0521F |
|
18 |
17 |
$0.00 |