Medicaid Provider Spending

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

SAN LAZARGERD MEDICAL II CSP

NPI: 1841600624 · LARES, PR 00669 · Multi-Specialty Clinic/Center · NPI assigned 05/02/2014

$23K
Total Medicaid Paid
1,450
Total Claims
1,055
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialGONZALEZ, GERALDO (PRESIDENT)
NPI Enumeration Date05/02/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,293 $23K
2019 108 $19.00
2020 35 $20.00
2021 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 497 367 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 243 182 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $210.98
1157F 52 38 $97.05
3074F 16 16 $9.80
3079F 15 15 $5.88
1159F 52 38 $0.00
1160F 52 38 $0.00
3008F 362 242 $0.00
1170F 52 38 $0.00
3017F 95 68 $0.00