Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › GUAYAMA › SOUTHERN HEALTH CARE GROUP, INC.

SOUTHERN HEALTH CARE GROUP, INC.

NPI: 1780770917 · GUAYAMA, PR 00784 · Pediatrics Physician · NPI assigned 10/05/2006

$622K
Total Medicaid Paid
347,469
Total Claims
301,709
Beneficiaries
119
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, SERGIO (DIRECTOR MEDICO)
NPI Enumeration Date10/05/2006

Related Entities

Other providers sharing the same authorized official: LOPEZ, SERGIO

ProviderCityStateTotal Paid
SERGIO E LOPEZ, DDS, PEDIATRIC DENTISTRY, PLLC EDINBURG TX $3.45M
SERGIO M. LOPEZ, D.D.S.,P. L.L.C. TAMPA FL $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,550 $29K
2019 31,505 $30K
2020 22,738 $71K
2021 38,858 $181K
2022 38,636 $102K
2023 95,617 $167K
2024 88,565 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 91,952 76,272 $209K
90832 Psychotherapy, 30 minutes with patient 1,816 1,050 $52K
90837 Psychotherapy, 53 minutes with patient 485 392 $34K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,439 1,188 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,908 8,823 $31K
90834 Psychotherapy, 45 minutes with patient 458 268 $28K
90460 Immunization administration through 18 years of age via any route, first or only component 5,570 4,058 $22K
90461 3,393 2,566 $22K
99441 3,658 3,121 $21K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,486 1,272 $20K
90791 Psychiatric diagnostic evaluation 767 500 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,292 1,654 $16K
99443 385 258 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,721 2,320 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,610 3,167 $11K
99442 1,450 1,240 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,840 1,627 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15,192 13,926 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,440 1,234 $6K
0012A 124 123 $5K
0011A 132 130 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,609 2,280 $4K
90670 1,064 831 $4K
90658 3,382 2,395 $3K
99245 473 291 $3K
0071A 67 67 $3K
0124A 64 47 $3K
0072A 59 59 $2K
90472 Immunization administration, each additional vaccine (list separately) 278 220 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,363 1,317 $2K
0031A 44 44 $2K
0073A 43 43 $2K
96127 16,958 15,257 $1K
96160 8,564 5,203 $1K
99215 Prolong outpt/office vis 578 524 $1K
0013A 27 26 $1K
99383 121 121 $739.64
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 2,867 2,691 $639.38
0054A 13 12 $520.00
96161 6,540 6,052 $421.90
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 13 $340.00
99368 796 524 $304.01
90715 471 391 $273.99
90698 426 326 $118.64
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 244 217 $75.93
90744 55 36 $51.68
90700 418 292 $48.00
99381 18 18 $33.62
99384 125 125 $30.00
96151 165 165 $29.08
96150 347 334 $15.29
90649 1,098 890 $8.05
90620 417 321 $8.02
90734 799 628 $4.03
90633 122 115 $4.00
3075F 4,704 4,444 $0.02
3079F 6,429 6,032 $0.02
3008F 23,336 20,679 $0.01
90716 136 136 $0.01
90396 163 122 $0.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12,467 11,239 $0.00
1036F 3,207 2,976 $0.00
2000F 1,246 1,138 $0.00
1170F 4,199 3,951 $0.00
3017F 1,051 1,042 $0.00
3074F 16,587 15,062 $0.00
4010F 1,825 1,635 $0.00
3049F 551 540 $0.00
99241 157 154 $0.00
90480 21 21 $0.00
1157F 2,141 2,018 $0.00
1126F 6,288 5,804 $0.00
1125F 2,370 2,222 $0.00
3044F 1,549 1,494 $0.00
3061F 1,335 1,305 $0.00
3080F 1,177 1,109 $0.00
3048F 1,582 1,554 $0.00
2010F 27 26 $0.00
3066F 730 670 $0.00
1111F 902 760 $0.00
97804 672 591 $0.00
3014F 261 256 $0.00
1030F 104 101 $0.00
90680 19 13 $0.00
2001F 1,029 954 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 29 29 $0.00
3060F 41 40 $0.00
3279F 94 93 $0.00
86580 47 47 $0.00
1101F 168 167 $0.00
3072F 35 35 $0.00
90696 31 31 $0.00
99050 15 12 $0.00
3077F 4,353 3,971 $0.00
3050F 181 180 $0.00
1159F 8,172 7,615 $0.00
0518F 1,116 1,035 $0.00
3078F 17,844 16,207 $0.00
0521F 2,243 2,117 $0.00
4035F 346 336 $0.00
1158F 1,804 1,716 $0.00
90648 28 25 $0.00
1160F 7,529 7,037 $0.00
3095F 376 362 $0.00
3062F 12 12 $0.00
3725F 2,653 2,598 $0.00
3051F 53 53 $0.00
97803 421 391 $0.00
1090F 452 435 $0.00
90630 1,593 1,431 $0.00
99408 406 232 $0.00
96152 45 38 $0.00
90707 91 91 $0.00
1033F 161 144 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 30 30 $0.00
91320 20 20 $0.00
2022F 12 12 $0.00
99367 29 29 $0.00