Medicaid Provider Spending

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

POLICLINICA SAN PEDRO PSC

NPI: 1821070640 · ARROYO, PR 00714 · Emergency Care Clinic/Center · NPI assigned 11/17/2005

$3K
Total Medicaid Paid
172
Total Claims
166
Beneficiaries
1
Codes Billed
2018-09
First Month
2019-03
Last Month

Provider Details

Authorized OfficialRIVERA IRIZARRY, LAURA (ADMINISTRATOR)
NPI Enumeration Date11/17/2005

Related Entities

Other providers sharing the same authorized official: RIVERA IRIZARRY, LAURA

ProviderCityStateTotal Paid
JL RIVERA & SONS INC GUAYAMA PR $257K
JL RIVERA & SONS INC GUAYAMA PR $734.11

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $2K
2019 72 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 172 166 $3K