Medicaid Provider Spending

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

PHYSICIAN H.M.O. INC.

NPI: 1730481649 · SAN JUAN, PR 00918 · 146M00000X

$535K
Total Medicaid Paid
718,779
Total Claims
635,271
Beneficiaries
83
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 94,170 $11K
2019 99,039 $88K
2020 67,969 $61K
2021 130,371 $140K
2022 130,398 $66K
2023 115,473 $94K
2024 81,359 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 107,312 91,893 $233K
96160 6,490 6,330 $175K
99050 2,070 1,871 $68K
90471 4,044 3,399 $23K
90472 3,329 1,626 $10K
99211 11,516 10,133 $9K
99441 2,754 2,431 $5K
99442 2,810 2,521 $5K
Q0091 Obtaining screen pap smear 214 143 $3K
99392 7,126 5,834 $820.78
99391 1,747 1,311 $607.44
99201 507 503 $534.63
99212 604 573 $357.17
99393 7,627 6,578 $356.59
90688 716 553 $350.34
90649 255 232 $340.02
90460 369 270 $322.54
99394 4,422 3,806 $318.45
90834 78 52 $297.00
99203 248 227 $259.50
99241 17 13 $175.00
96127 18,494 16,587 $94.66
99422 111 111 $83.21
99202 13 13 $59.46
90461 259 125 $38.60
90670 380 370 $12.00
90686 300 298 $6.00
1157F 45,865 40,730 $0.06
1160F 25,491 23,187 $0.01
3725F 25,821 22,996 $0.01
1158F 29,536 26,617 $0.00
3078F 48,788 43,154 $0.00
1159F 28,785 25,993 $0.00
0521F 953 892 $0.00
3077F 17,176 15,562 $0.00
1032F 1,022 941 $0.00
1090F 5,906 5,294 $0.00
3045F 32 26 $0.00
90648 94 94 $0.00
G0444 Depression screen annual 360 309 $0.00
4004F 11,435 10,259 $0.00
90707 150 149 $0.00
90633 135 134 $0.00
3050F 346 310 $0.00
90715 37 37 $0.00
90734 201 188 $0.00
96152 47 42 $0.00
99408 72 42 $0.00
90700 37 37 $0.00
90791 25 24 $0.00
3046F 48 44 $0.00
99382 15 15 $0.00
90681 12 12 $0.00
3075F 12,974 12,029 $0.00
3008F 85,396 74,094 $0.00
1036F 17,666 16,005 $0.00
3079F 16,226 14,989 $0.00
1125F 4,786 4,303 $0.00
1126F 40,919 35,970 $0.00
1031F 37,787 33,612 $0.00
1170F 22,135 20,234 $0.00
3080F 6,991 6,528 $0.00
3074F 42,451 37,713 $0.00
3048F 1,138 1,087 $0.00
4000F 550 534 $0.00
99383 80 80 $0.00
90716 159 159 $0.00
3044F 757 716 $0.00
3049F 607 566 $0.00
3014F 83 80 $0.00
1111F 525 514 $0.00
99384 12 12 $0.00
0509F 99 86 $0.00
1035F 613 492 $0.00
96150 45 45 $0.00
3017F 272 266 $0.00
90620 134 133 $0.00
90696 47 47 $0.00
90723 13 13 $0.00
90651 38 14 $0.00
99381 25 25 $0.00
90650 37 21 $0.00
90698 13 13 $0.00