Medicaid Provider Spending

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

CENTRO OTOLOGICO DE PUERTO RICO CSP

NPI: 1619958634 · MAYAGUEZ, PR 00680 · Audiologist · NPI assigned 11/08/2005

$10K
Total Medicaid Paid
562
Total Claims
328
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialLASALLE LOPEZ, MIGUEL (OWNER)
NPI Enumeration Date11/08/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 562 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 228 137 $4K
92588 128 72 $3K
92557 105 60 $2K
92570 101 59 $823.20