Medicaid Provider Spending

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

GRUPO MEDICO SAN PABLO INC

NPI: 1700851268 · BAYAMON, PR 00961 · General Practice Physician · NPI assigned 02/20/2006

$2K
Total Medicaid Paid
350
Total Claims
346
Beneficiaries
6
Codes Billed
2021-11
First Month
2021-12
Last Month

Provider Details

Authorized OfficialZAYAS, ILIA (EXECUTIVE DIRECTOR)
NPI Enumeration Date02/20/2006

Related Entities

Other providers sharing the same authorized official: ZAYAS, ILIA

ProviderCityStateTotal Paid
CDT GMSP, INC BAYAMON PR $4.66M
CDT GMSP INC BAYAMON PR $159K
CDT G.M,S.P., INC BAYAMON PR $33K
OPTICA CDTGMSP BAYAMON PR $6K
COOPERATIVA DE FACULTAD MEDICA SANACOOP BAYAMON PR $606.13

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 350 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0003A 85 84 $1K
0013A 54 54 $920.00
0001A 13 13 $0.00
91301 54 54 $0.00
91300 131 128 $0.00
0002A 13 13 $0.00