Medicaid Provider Spending

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

SALUD INTEGRAL EN LA MONTANA, INC.

NPI: 1639372618 · TOA ALTA, PR 00953 · 261Q00000X

$85K
Total Medicaid Paid
65,253
Total Claims
56,396
Beneficiaries
71
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,825 $52K
2019 7,715 $14K
2020 3,342 $9K
2021 3,394 $7K
2022 5,737 $1K
2023 11,984 $2K
2024 18,256 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99051 557 535 $16K
99283 2,487 2,235 $11K
90471 1,227 747 $10K
99284 1,972 1,822 $9K
90472 887 529 $8K
99282 1,394 1,266 $7K
99218 2,017 1,796 $6K
99219 1,232 1,103 $5K
99213 13,037 11,266 $4K
99441 4,541 3,958 $4K
99285 172 137 $2K
90651 168 96 $886.11
99212 1,728 1,411 $620.47
90734 120 61 $582.56
94664 617 284 $431.76
90670 226 149 $237.30
99220 131 97 $218.21
99214 745 573 $155.14
90716 200 109 $130.72
99070 72 53 $80.00
99442 17 17 $42.00
99393 563 511 $26.46
90707 161 89 $12.00
93000 281 233 $9.54
3078F 3,025 2,719 $0.00
1159F 4,633 3,977 $0.00
96160 383 298 $0.00
1160F 4,525 3,887 $0.00
99394 159 159 $0.00
99408 239 198 $0.00
99382 33 33 $0.00
3725F 577 561 $0.00
3077F 194 186 $0.00
99392 189 177 $0.00
90715 39 20 $0.00
2028F 286 260 $0.00
99203 68 57 $0.00
G0101 Ca screen;pelvic/breast exam 66 50 $0.00
99173 52 28 $0.00
90700 23 15 $0.00
4013F 17 17 $0.00
93010 12 12 $0.00
4004F 52 52 $0.00
93005 16 15 $0.00
G8431 Pos clin depres scrn f/u doc 15 15 $0.00
90648 13 13 $0.00
G8510 Scr dep neg, no plan reqd 1,562 1,420 $0.00
1000F 306 304 $0.00
1126F 4,325 3,804 $0.00
3074F 2,497 2,261 $0.00
97802 26 12 $0.00
3044F 321 311 $0.00
1036F 948 876 $0.00
96127 1,515 1,384 $0.00
2000F 611 576 $0.00
3075F 827 728 $0.00
3048F 190 181 $0.00
3079F 528 485 $0.00
1125F 853 762 $0.00
3008F 1,226 1,139 $0.00
97804 17 17 $0.00
4010F 96 91 $0.00
G0328 Fecal blood scrn immunoassay 46 46 $0.00
3061F 42 42 $0.00
3049F 28 28 $0.00
99383 40 40 $0.00
3011F 12 12 $0.00
3060F 15 15 $0.00
3014F 17 12 $0.00
90696 25 12 $0.00
99384 12 12 $0.00