Medicaid Provider Spending

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

PASTRANA, JOSE

NPI: 1861462186 · GUAYNABO, PR 00969 · General Practice Physician · NPI assigned 01/26/2006

$10K
Total Medicaid Paid
57,762
Total Claims
49,654
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,397 $375.37
2019 7,246 $34.00
2020 5,299 $2K
2021 8,985 $4K
2022 8,097 $1K
2023 8,079 $132.74
2024 10,659 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 419 394 $6K
96160 726 638 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,208 5,747 $1K
99441 793 708 $410.12
90686 12 12 $223.80
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,057 952 $0.04
80061 Lipid panel 591 493 $0.01
0518F 2,528 2,244 $0.01
3725F 2,638 2,230 $0.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,756 1,589 $0.01
1126F 2,942 2,556 $0.01
1170F 3,116 2,703 $0.01
1036F 2,445 2,171 $0.01
1160F 3,138 2,720 $0.00
1158F 3,104 2,690 $0.00
3078F 2,815 2,406 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 190 172 $0.00
99071 2,489 2,201 $0.00
2014F 178 174 $0.00
1159F 3,143 2,728 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 261 248 $0.00
99397 150 137 $0.00
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) 106 97 $0.00
0521F 13 12 $0.00
1157F 3,103 2,687 $0.00
3075F 827 741 $0.00
82270 120 98 $0.00
3074F 4,966 4,140 $0.00
3079F 2,965 2,496 $0.00
3008F 3,081 2,672 $0.00
3048F 104 84 $0.00
3017F 289 249 $0.00
2010F 177 173 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 163 159 $0.00
1030F 12 12 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 28 26 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 59 52 $0.00
1125F 13 12 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25 19 $0.00