Medicaid Provider Spending

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

PEREZ LOPEZ, JESUS

NPI: 1720079189 · AGUADILLA, PR 00603 · 208D00000X

$104.00

Total Medicaid Paid

190

Total Claims

162

Beneficiaries

8

Codes Billed

2018-01

First Month

2018-05

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	190	$104.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
3074F		15	12	$40.00
3078F		15	12	$40.00
1158F		13	13	$24.00
3008F		12	12	$0.00
1170F		13	13	$0.00
99213		96	74	$0.00
1159F		13	13	$0.00
1160F		13	13	$0.00