Medicaid Provider Spending

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

KIDS PULM PR LLC

NPI: 1740964287 · BAYAMON, PR 00959 · Pediatric Pulmonology Physician · NPI assigned 06/14/2023

$112K
Total Medicaid Paid
1,673
Total Claims
1,004
Beneficiaries
6
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMIRANDA TORRES, CAROLINA (PRESIDENT)
NPI Enumeration Date06/14/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,673 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 585 340 $44K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 316 189 $41K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 122 86 $12K
94664 598 362 $8K
99205 Prolong outpt/office vis 28 14 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 13 $2K