Medicaid Provider Spending

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

LDG MEDICAL SERVICES GROUP, LLC

NPI: 1740782788 · SAN JUAN, PR 00907 · General Practice Physician · NPI assigned 03/06/2018

$547K
Total Medicaid Paid
324,901
Total Claims
272,154
Beneficiaries
78
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDE GRACIA, WILLIAM (TREASURER)
NPI Enumeration Date03/06/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $0.00
2019 24,463 $53K
2020 29,909 $85K
2021 36,477 $77K
2022 63,794 $88K
2023 92,506 $143K
2024 77,669 $102K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96160 14,160 13,738 $410K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74,282 55,907 $49K
99050 1,072 804 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,445 3,282 $16K
99442 7,101 5,717 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24,583 20,189 $11K
99334 636 626 $7K
99348 749 726 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,902 1,649 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 192 168 $1K
99441 3,418 2,691 $792.04
99443 732 606 $315.14
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 81 68 $270.08
G0444 Annual depression screening, 5 to 15 minutes 3,390 3,196 $253.67
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 252 218 $236.90
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 259 247 $217.04
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 63 $147.52
96110 Developmental screening, with scoring and documentation, per standardized instrument 552 508 $77.85
99408 690 653 $57.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,762 1,949 $51.44
99347 1,592 1,464 $41.10
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 85 84 $23.69
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 25 25 $20.48
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 38 38 $20.00
99201 138 135 $18.00
93000 376 372 $17.00
1160F 27,728 22,498 $0.00
1159F 28,420 23,121 $0.00
3078F 16,763 14,648 $0.00
3725F 2,498 2,437 $0.00
1158F 632 473 $0.00
4013F 2,287 2,025 $0.00
3051F 98 86 $0.00
3077F 3,525 3,111 $0.00
3050F 898 851 $0.00
0521F 138 125 $0.00
3280F 505 467 $0.00
G0451 Development testing, with interpretation and report, per standardized instrument form 32 32 $0.00
85014 93 78 $0.00
4145F 430 391 $0.00
4035F 12 12 $0.00
2022F 32 29 $0.00
2014F 41 41 $0.00
80061 Lipid panel 13 13 $0.00
3095F 13 12 $0.00
99397 13 12 $0.00
3342F 18 18 $0.00
1036F 185 172 $0.00
2000F 3,705 3,413 $0.00
3079F 7,150 6,420 $0.00
86580 755 719 $0.00
1157F 1,009 830 $0.00
3061F 3,347 3,149 $0.00
3080F 1,588 1,449 $0.00
3044F 2,539 2,388 $0.00
4010F 1,268 1,105 $0.00
1126F 7,458 6,542 $0.00
3008F 22,393 18,835 $0.00
3017F 2,251 2,116 $0.00
3049F 1,730 1,634 $0.00
3011F 3,902 3,644 $0.00
1170F 3,494 2,934 $0.00
3075F 3,419 3,127 $0.00
3048F 3,252 3,081 $0.00
3074F 18,621 16,175 $0.00
3014F 905 841 $0.00
1125F 6,269 5,396 $0.00
3279F 574 522 $0.00
85018 93 78 $0.00
1111F 1,812 1,568 $0.00
3060F 77 74 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 242 240 $0.00
3281F 12 12 $0.00
99349 26 26 $0.00
3341F 12 12 $0.00
96112 24 24 $0.00
99386 12 12 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13 13 $0.00