Medicaid Provider Spending

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

ASOCIACION MEDICOS SELECTOS DE LA MONTANA, INC.

NPI: 1801118559 · COROZAL, PR 00783 · General Practice Physician · NPI assigned 02/23/2010

$739.37
Total Medicaid Paid
25,415
Total Claims
19,111
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-05
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, ANTONIA (ADMINISTRATOR)
NPI Enumeration Date02/23/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,083 $116.00
2019 3,573 $400.00
2020 1,685 $93.49
2021 2,472 $97.41
2022 4,368 $32.47
2023 4,953 $0.00
2024 2,281 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,478 18,285 $589.49
99441 621 538 $129.88
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 16 13 $20.00
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 53 30 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 85 84 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 46 46 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 66 65 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15 15 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 23 23 $0.00