Medicaid Provider Spending

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

RECINTO DE CIENCIAS MEDICAS

NPI: 1689752461 · RIO PIEDRAS, PR 00921 · Gynecology Physician · NPI assigned 11/01/2006

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

Authorized official TROCHE, MYRIAM controls 20+ related entities in our dataset. Read more

$3.77M
Total Medicaid Paid
82,792
Total Claims
53,656
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: TROCHE, MYRIAM

ProviderCityStateTotal Paid
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $6.83M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $5.42M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $4.21M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.95M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.42M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $3.09M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $3.04M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $2.68M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $2.37M
RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR $2.09M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $2.03M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $1.18M
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $1.05M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $1.01M
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $954K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $885K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $879K
RECINTO DE CIENCIAS MEDICAS SAN JUAN PR $839K
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $822K
RECINTO DE CIENCIAS MEDICAS CAROLINA PR $767K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,974 $149K
2019 9,833 $164K
2020 8,029 $245K
2021 8,597 $394K
2022 11,422 $570K
2023 14,918 $940K
2024 20,019 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62,731 40,167 $2.43M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,458 4,811 $318K
59515 304 147 $296K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,276 1,649 $257K
99221 1,478 1,005 $92K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,454 1,448 $84K
99231 Subsequent hospital care, per day, straightforward or low complexity 716 391 $75K
99233 Prolong inpt eval add15 m 233 206 $52K
59410 66 36 $43K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 2,696 1,651 $41K
99442 724 524 $33K
59025 Fetal non-stress test 615 327 $24K
99070 1,797 1,135 $20K
99283 Emergency department visit for the evaluation and management, moderate severity 66 54 $3K
57454 15 12 $780.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 76 29 $361.74
P3001 Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician 13 13 $0.00
3078F 22 15 $0.00
3008F 24 18 $0.00
3074F 28 18 $0.00