Medicaid Provider Spending

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

VEGA-MARTINEZ, JOSE

NPI: 1801050695 · SAN JUAN, PR 00922 · Internal Medicine Physician · NPI assigned 07/11/2008

$1.69M
Total Medicaid Paid
12,827
Total Claims
11,956
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,028 $95K
2019 1,854 $216K
2020 1,345 $146K
2021 2,238 $292K
2022 2,161 $302K
2023 2,125 $323K
2024 2,076 $321K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,869 1,737 $573K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,632 1,495 $426K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,556 5,168 $278K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 360 338 $200K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,039 1,859 $157K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,190 1,179 $37K
99223 Prolong inpt eval add15 m 93 93 $13K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 32 32 $9K
99254 42 41 $1K
99441 14 14 $341.72