Medicaid Provider Spending

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

PRYMED MEDICAL CARE, INC

NPI: 1811451883 · VEGA BAJA, PR 00693 · Federally Qualified Health Center (FQHC) · NPI assigned 01/24/2019

$9K
Total Medicaid Paid
608
Total Claims
519
Beneficiaries
4
Codes Billed
2023-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialVEGA DE JESUS, MARISOL (FINANCE DIRECTOR)
NPI Enumeration Date01/24/2019

Related Entities

Other providers sharing the same authorized official: VEGA DE JESUS, MARISOL

ProviderCityStateTotal Paid
PRYMED MEDICAL CARE INC CIALES PR $5K
PRYMED MEDICAL CARE INC CIALES PR $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 456 $7K
2024 152 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 415 358 $5K
90472 Immunization administration, each additional vaccine (list separately) 161 133 $2K
90651 17 13 $978.54
90686 15 15 $262.71