Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› INDIAN RIVER INTERNAL MEDICINE, LLC
INDIAN RIVER INTERNAL MEDICINE, LLC
NPI: 1811136773 · SEBASTIAN, FL 32958 ·
Internal Medicine Physician
· NPI assigned 02/16/2009
$8.71
Total Medicaid Paid
84
Total Claims
63
Beneficiaries
2
Codes Billed
2019-11
First Month
2023-10
Last Month
Provider Details
Authorized Official
PRIETO, ENIO
(SOLE MANAGING MEMBER)
NPI Enumeration Date
02/16/2009
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
21
$8.71
2023
63
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99490
Ccm add 20min
69
51
$8.71
99439
15
12
$0.00