Medicaid Provider Spending

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

LUIS R. NIEVES GONZALEZ MD, PSC

NPI: 1760787071 · ISABELA, PR 00662 · General Practice Physician · NPI assigned 01/18/2011

$379.09
Total Medicaid Paid
828
Total Claims
642
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialNIEVES GONZALEZ, LUIS (PRESIDENT)
NPI Enumeration Date01/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 828 $379.09

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
1158F 74 60 $172.00
1157F 74 60 $172.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 318 234 $35.09
1160F 74 60 $0.00
1159F 60 48 $0.00
3017F 28 20 $0.00
1170F 71 57 $0.00
3008F 72 58 $0.00
1126F 32 26 $0.00
1125F 25 19 $0.00