Medicaid Provider Spending

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

OSCAR RIVERA MARTINEZ PSC

NPI: 1669743415 · CAGUAS, PR 00725 · Pulmonary Disease Physician · NPI assigned 01/24/2012

$196K
Total Medicaid Paid
6,423
Total Claims
5,591
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRIVERA, OSCAR (PRESIDENT)
NPI Enumeration Date01/24/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,896 $28K
2019 1,830 $25K
2020 471 $8K
2021 529 $27K
2022 583 $30K
2023 512 $35K
2024 602 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,403 2,927 $159K
94060 426 395 $14K
94726 262 236 $8K
94729 265 238 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 124 110 $4K
94010 94 89 $2K
99441 43 35 $844.35
99442 21 21 $438.16
1159F 459 392 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 143 135 $0.00
1030F 354 305 $0.00
1022F 290 238 $0.00
1036F 235 204 $0.00
3008F 304 266 $0.00