Medicaid Provider Spending

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

SAN JORGE PEDIATRIC ORTHOPAEDIC INSTITUTE

NPI: 1700158391 · SAN JUAN, PR 00912 · Children's Hospital · NPI assigned 01/30/2012

$142K
Total Medicaid Paid
3,159
Total Claims
2,914
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialNIEVES, AMAIRA (CREDIT MANAGER)
Parent OrganizationSAN JORGE CHILDREN'S HOSPITAL, INC
NPI Enumeration Date01/30/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,978 $134K
2019 181 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,335 1,291 $75K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,733 1,535 $64K
25600 17 16 $3K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 37 35 $0.00
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 37 37 $0.00