Medicaid Provider Spending

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

INSPIRA BEHAVIORAL CARE CORP.

NPI: 1679075212 · COAMO, PR 00769 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 02/28/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TORRES, JAVIER controls 14+ related entities in our dataset. Read more

$552K
Total Medicaid Paid
151,302
Total Claims
136,582
Beneficiaries
31
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTORRES, JAVIER (CONTRACTING DIRECTOR)
NPI Enumeration Date02/28/2018

Related Entities

Other providers sharing the same authorized official: TORRES, JAVIER

ProviderCityStateTotal Paid
INSPIRA BEHAVIORAL CARE CORP. CAGUAS PR $1.70M
INSPIRA BEHAVIORAL CARE CORP. YAUCO PR $1.07M
INSPIRA BEHAVIORAL CARE CORP. HUMACAO PR $1.03M
INSPIRA BEHAVIORAL CARE CORP. CAROLINA PR $781K
INSPIRA BEHAVIORAL CARE CORP. BAYAMON PR $741K
INSPIRA BEHAVIORAL CARE CORP. CIDRA PR $705K
INSPIRA BEHAVIORAL CARE CORP. GUAYAMA PR $505K
INSPIRA BEHAVIORAL CARE CORP. RIO GRANDE PR $398K
INSPIRA BEHAVIORAL CARE CORP. CAGUAS PR $320K
INSPIRA BEHAVIORAL CARE CORP. SAN JUAN PR $114K
INSPIRA BEHAVIORAL CARE CORP. SAN JUAN PR $14K
INSPIRA BEHAVIORAL CARE CORP. BAYAMON PR $11K
INSPIRA BEHAVIORAL CARE CORP. HATO REY PR $853.00
INSPIRA BEHAVIORAL CARE CORP. HATO REY PR $747.45

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,675 $10K
2019 24,410 $70K
2020 23,284 $60K
2021 27,869 $105K
2022 23,314 $106K
2023 30,885 $188K
2024 18,865 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,142 11,352 $258K
99442 9,292 8,014 $181K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30,920 28,270 $49K
90832 Psychotherapy, 30 minutes with patient 16,000 14,329 $26K
99441 28,623 25,874 $21K
90791 Psychiatric diagnostic evaluation 2,649 2,481 $9K
90792 Psychiatric diagnostic evaluation with medical services 1,034 974 $4K
90853 Group psychotherapy (other than of a multiple-family group) 1,985 1,840 $869.73
98967 11,166 10,315 $691.79
90847 Family psychotherapy with the patient present, 50 minutes 469 427 $610.00
96127 22,095 19,792 $438.14
98968 5,591 5,020 $402.49
99349 323 271 $376.28
90834 Psychotherapy, 45 minutes with patient 269 256 $364.32
99443 485 484 $277.11
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 777 737 $208.30
99411 3,480 3,326 $135.00
99347 811 811 $70.00
98966 1,528 1,362 $60.72
80061 Lipid panel 70 70 $0.00
99348 100 99 $0.00
80305 66 52 $0.00
90837 Psychotherapy, 53 minutes with patient 61 60 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 45 45 $0.00
99342 13 13 $0.00
99215 Prolong outpt/office vis 25 25 $0.00
84479 70 70 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 68 68 $0.00
81001 62 62 $0.00
80053 Comprehensive metabolic panel 69 69 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $0.00