Medicaid Provider Spending

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

SAINT LUKES MEMORIAL HOSPITAL INC

NPI: 1841295557 · PONCE, PR 00716 · Psychiatric Hospital Unit · NPI assigned 06/17/2005

$2.48M
Total Medicaid Paid
42,411
Total Claims
34,072
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUILLEN, IAN (ASSISTANT CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/17/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,940 $181K
2019 9,682 $299K
2020 5,105 $250K
2021 5,772 $374K
2022 4,491 $308K
2023 4,891 $403K
2024 7,530 $666K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 14,676 11,741 $1.65M
99243 9,452 7,995 $296K
99441 4,121 2,620 $151K
76819 Fetal biophysical profile; without non-stress testing 1,843 1,111 $131K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,108 3,448 $59K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 960 769 $41K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,877 4,432 $41K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 373 228 $39K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,284 1,144 $26K
99215 Prolong outpt/office vis 132 114 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 122 92 $9K
76827 126 119 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 92 69 $5K
99205 Prolong outpt/office vis 20 12 $3K
76825 34 34 $3K
99232 Subsequent hospital care, per day, moderate complexity 22 12 $2K
76820 53 50 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 45 40 $1K
99242 32 14 $688.00
99252 13 13 $470.00
99238 Hospital discharge day management, 30 minutes or less 26 15 $335.08