Medicaid Provider Spending

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

NIEVES-MATIAS, BENNY

NPI: 1669874681 · GUAYNABO, PR 00969 · General Practice Physician · NPI assigned 09/22/2014

$108K
Total Medicaid Paid
4,363
Total Claims
3,890
Beneficiaries
21
Codes Billed
2018-04
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $505.00
2019 153 $2K
2020 91 $1K
2023 3,031 $48K
2024 1,051 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 449 332 $58K
99284 Emergency department visit for the evaluation and management, high severity 309 239 $27K
99235 99 86 $8K
99283 Emergency department visit for the evaluation and management, moderate severity 182 177 $8K
99281 Emergency department visit for the evaluation and management, self-limited or minor 228 223 $2K
96160 214 184 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 772 696 $2K
99234 48 44 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 468 437 $222.96
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 30 28 $208.68
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 142 122 $69.26
1159F 303 286 $0.00
1160F 290 274 $0.00
3078F 116 107 $0.00
99442 150 143 $0.00
3008F 227 213 $0.00
99441 35 34 $0.00
3074F 149 134 $0.00
1126F 66 58 $0.00
1125F 48 41 $0.00
3079F 38 32 $0.00