Medicaid Provider Spending

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

POLICLINICAS MEDICAS ASOCIADAS, INC.

NPI: 1629009527 · PONCE, PR 00717 · Family Medicine Physician · NPI assigned 07/06/2006

$87K
Total Medicaid Paid
761,540
Total Claims
705,209
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCABEZA, VICTOR (PRESIDENT)
NPI Enumeration Date07/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,390 $3K
2019 73,998 $689.77
2020 59,572 $11K
2021 130,607 $23K
2022 144,184 $18K
2023 193,868 $23K
2024 123,921 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 142,183 122,945 $63K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 2,104 1,857 $11K
96160 9,045 8,435 $5K
99441 8,013 6,485 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,456 3,228 $2K
99401 53,259 49,578 $2K
99442 694 616 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,520 5,535 $327.03
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,707 1,521 $287.63
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,198 2,099 $263.68
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,962 3,773 $189.53
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,924 3,654 $165.86
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 506 389 $123.32
96127 2,454 2,397 $66.40
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 1,196 1,136 $34.44
99383 40 38 $28.08
93000 202 201 $17.00
1157F 20,353 19,384 $0.00
3044F 10,167 9,862 $0.00
3074F 67,408 62,838 $0.00
1126F 31,590 29,437 $0.00
0509F 4,780 4,600 $0.00
3008F 61,237 56,878 $0.00
2000F 5,618 5,293 $0.00
2010F 5,663 5,330 $0.00
3048F 7,983 7,752 $0.00
4010F 15,578 15,090 $0.00
3075F 3,711 3,571 $0.00
3049F 3,477 3,339 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 681 657 $0.00
3079F 6,898 6,565 $0.00
4086F 2,871 2,799 $0.00
1170F 1,455 1,407 $0.00
4008F 2,424 2,399 $0.00
D0120 Periodic oral evaluation - established patient 8,197 7,939 $0.00
3017F 4,643 4,421 $0.00
3061F 3,188 3,080 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 498 349 $0.00
1125F 16,747 15,755 $0.00
3080F 643 583 $0.00
3014F 1,846 1,701 $0.00
2001F 5,245 4,993 $0.00
96150 246 246 $0.00
3072F 15 15 $0.00
3060F 134 131 $0.00
99050 666 618 $0.00
3011F 398 362 $0.00
2023F 71 61 $0.00
99384 373 270 $0.00
99402 62 52 $0.00
1111F 198 196 $0.00
99368 35 33 $0.00
96112 99 60 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 69 65 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 15 $0.00
0540F 12 12 $0.00
1159F 34,427 32,671 $0.00
1160F 33,899 32,252 $0.00
0521F 14,342 13,602 $0.00
3078F 65,800 61,417 $0.00
99408 1,534 1,494 $0.00
4035F 8,678 8,395 $0.00
0518F 6,544 6,319 $0.00
1158F 20,016 19,078 $0.00
90832 Psychotherapy, 30 minutes with patient 789 761 $0.00
3725F 14,497 13,836 $0.00
4013F 16,134 15,625 $0.00
90791 Psychiatric diagnostic evaluation 618 594 $0.00
3050F 1,739 1,684 $0.00
3015F 1,028 987 $0.00
3077F 1,486 1,362 $0.00
D0145 Oral evaluation for a patient under three years of age 1,136 1,080 $0.00
4004F 217 214 $0.00
2028F 715 703 $0.00
3511F 178 175 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 389 359 $0.00
3095F 94 77 $0.00
4005F 99 98 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 347 307 $0.00
3051F 13 13 $0.00
99367 64 61 $0.00