MI ALICIA LLC
NPI: 1639847007
· VEGA BAJA, PR 00693
· Oncology Clinic/Center
· NPI assigned 09/01/2021
$297K
Total Medicaid Paid
Provider Details
| Authorized Official | RIVERA OLMO, CAROLINE (MD & PRESIDENT) |
| NPI Enumeration Date | 09/01/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,005 |
$85K |
| 2024 |
2,373 |
$212K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,440 |
1,104 |
$105K |
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
822 |
364 |
$80K |
| 96413 |
|
506 |
258 |
$58K |
| 96367 |
|
463 |
225 |
$44K |
| 96417 |
|
69 |
37 |
$6K |
| 96523 |
|
55 |
40 |
$1K |
| 96415 |
|
23 |
12 |
$1K |