Medicaid Provider Spending

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

CONDADO OTOLARYNGOLOGY PSC

NPI: 1629031331 · SAN JUAN, PR 00918 · Otolaryngology Physician · NPI assigned 04/11/2006

$106K
Total Medicaid Paid
1,982
Total Claims
1,691
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDE LEON, JOSE (PRESIDENTE)
NPI Enumeration Date04/11/2006

Related Entities

Other providers sharing the same authorized official: DE LEON, JOSE

ProviderCityStateTotal Paid
DELEON DENTAL OFFICE VALLEY STREAM NY $395K
DE LEON MEDICAL CLINIC INC HONOLULU HI $382K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 594 $16K
2019 154 $4K
2020 366 $17K
2021 212 $12K
2022 123 $6K
2023 136 $12K
2024 397 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 995 868 $59K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 939 782 $47K
69210 48 41 $815.72