Medicaid Provider Spending

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

NPI: 1659785632 · DORADO, PR 00646 · Clinic/Center · NPI assigned 06/17/2014

$55K
Total Medicaid Paid
1,843
Total Claims
1,657
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialMONTALVAN MIRO, ELENA (PRESIDENT)
NPI Enumeration Date06/17/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 647 $12K
2019 416 $7K
2020 315 $13K
2021 337 $17K
2022 128 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,678 1,506 $50K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 109 102 $3K
11100 29 24 $1K
11901 14 13 $624.50
11102 13 12 $0.00