Medicaid Provider Spending

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

COMMUNITY HEALTH FOUNDATION OF PUERTO RICO, INC.

NPI: 1881016020 · BAYAMON, PR 00961 · 261QF0400X

$921K
Total Medicaid Paid
914,056
Total Claims
776,851
Beneficiaries
172
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128,061 $33K
2019 90,214 $16K
2020 74,640 $10K
2021 130,684 $358K
2022 156,366 $231K
2023 160,555 $183K
2024 173,536 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 12,057 10,002 $116K
0001A 3,489 3,404 $114K
0002A 3,043 3,002 $112K
0004A 2,381 2,336 $91K
90472 5,836 4,825 $68K
0064A 1,356 1,345 $54K
0071A 1,208 1,201 $47K
0072A 1,014 1,011 $40K
99213 122,831 103,710 $35K
90670 1,692 1,491 $33K
90649 2,112 1,782 $22K
96160 5,691 5,268 $21K
90734 1,661 1,421 $15K
87426 3,874 3,495 $14K
0124A 414 387 $14K
90677 334 194 $11K
0003A 331 331 $10K
90716 1,438 1,225 $10K
90654 1,875 1,671 $9K
90621 937 803 $9K
99441 35,657 30,457 $8K
0134A 162 149 $6K
90707 1,325 1,139 $6K
90715 1,006 811 $6K
90697 615 485 $5K
0031A 111 111 $4K
99203 7,668 6,659 $3K
91322 34 34 $3K
90656 2,754 2,442 $3K
90791 1,340 1,321 $3K
97802 14,047 13,151 $2K
90633 1,072 864 $2K
97803 317 302 $2K
0013A 55 55 $2K
90680 664 582 $2K
90648 776 682 $2K
99212 8,560 6,634 $2K
90480 62 59 $2K
91307 441 428 $1K
90700 529 467 $1K
G0270 Mnt subs tx for change dx 14,019 13,140 $1K
90696 385 346 $967.45
G2012 Brief check in by md/qhp 6,129 5,632 $924.12
0012A 28 27 $920.00
90834 404 372 $877.62
99442 5,923 5,142 $864.21
0011A 19 19 $760.00
99443 852 797 $734.13
0034A 17 13 $600.00
0073A 12 12 $480.00
90832 2,255 2,198 $377.07
99211 2,532 2,108 $373.74
90460 44 32 $255.60
G2023 Specimen collect covid-19 3,998 3,610 $254.18
90698 113 104 $237.02
90714 144 133 $209.00
90723 256 241 $198.02
99391 679 611 $150.28
96127 26,162 23,545 $113.02
90461 16 12 $106.15
90473 25 15 $81.78
96110 6,206 5,880 $72.09
92552 89 71 $55.24
99393 3,514 3,128 $53.14
91312 376 352 $40.00
99392 2,210 2,000 $23.85
90744 63 60 $16.00
99173 5,602 5,307 $4.80
90746 31 31 $4.01
90657 68 66 $4.00
99394 2,638 2,330 $0.15
99385 215 155 $0.03
99381 36 28 $0.02
3017F 6,447 5,424 $0.01
4010F 6,625 5,248 $0.01
99386 119 80 $0.01
4013F 6,369 4,982 $0.01
4124F 2,391 2,097 $0.01
3008F 44,841 35,932 $0.00
1036F 26,781 23,337 $0.00
3079F 20,269 16,974 $0.00
92551 2,046 1,957 $0.00
G8419 Calc bmi out nrm param nof/u 669 619 $0.00
1055F 5,326 4,291 $0.00
1157F 13,818 11,379 $0.00
G8510 Scr dep neg, no plan reqd 26,048 22,412 $0.00
1030F 17,078 14,414 $0.00
1125F 15,238 12,910 $0.00
3074F 51,812 44,022 $0.00
G9903 Pt scrn tbco id as non user 21,911 18,754 $0.00
1000F 22,141 17,738 $0.00
G0475 Hiv combination assay 8,625 7,571 $0.00
3075F 12,273 10,518 $0.00
3061F 1,547 1,154 $0.00
3044F 1,681 1,237 $0.00
G9806 Pt recd cerv cyto/hpv 444 352 $0.00
G8420 Calc bmi norm parameters 23,336 20,144 $0.00
1126F 1,217 813 $0.00
3014F 3,726 3,117 $0.00
99214 1,629 1,583 $0.00
3048F 3,606 2,852 $0.00
3049F 1,479 1,075 $0.00
90792 436 425 $0.00
G9664 Taking statin or rec'd order 633 605 $0.00
1170F 2,638 1,871 $0.00
H0001 Alcohol and/or drug assess 452 398 $0.00
90651 117 66 $0.00
G9902 Pt scrn tbco and id as user 689 527 $0.00
99368 542 540 $0.00
3080F 337 255 $0.00
G8418 Calc bmi blw low param f/u 12 12 $0.00
1034F 382 284 $0.00
4140F 354 264 $0.00
G9906 Pt recv tbco cess interv 639 485 $0.00
G0103 Psa screening 126 101 $0.00
1022F 625 359 $0.00
4037F 176 133 $0.00
4086F 439 340 $0.00
G0442 Annual alcohol screen 15 min 1,475 811 $0.00
3066F 31 31 $0.00
99202 170 132 $0.00
G9717 Doc pt dx bipol 160 110 $0.00
4000F 280 210 $0.00
3072F 42 41 $0.00
87428 112 109 $0.00
99384 35 28 $0.00
G0447 Behavior counsel obesity 15m 28 28 $0.00
93000 79 72 $0.00
1111F 19 19 $0.00
3060F 33 19 $0.00
91303 15 15 $0.00
1033F 14,398 11,333 $0.00
1158F 14,877 12,906 $0.00
3078F 45,549 39,133 $0.00
1039F 429 303 $0.00
4025F 970 741 $0.00
G8417 Calc bmi abv up param f/u 39,003 33,744 $0.00
4035F 19,021 15,971 $0.00
G9820 Doc chlam scr test w/follow 762 717 $0.00
3725F 21,742 18,060 $0.00
0521F 10,973 9,499 $0.00
1159F 15,278 12,196 $0.00
3077F 3,788 3,170 $0.00
G8511 Scr dep pos, no plan doc rng 256 183 $0.00
3050F 916 769 $0.00
2028F 2,079 1,778 $0.00
1090F 313 232 $0.00
2022F 240 223 $0.00
G8431 Pos clin depres scrn f/u doc 2,870 2,545 $0.00
1160F 4,933 3,995 $0.00
3015F 1,682 1,378 $0.00
G0444 Depression screen annual 5,508 3,996 $0.00
4004F 9,310 7,386 $0.00
2014F 924 666 $0.00
4158F 246 193 $0.00
99201 189 150 $0.00
0518F 35 31 $0.00
99348 18 15 $0.00
91300 196 194 $0.00
2027F 16 16 $0.00
90837 32 29 $0.00
3288F 225 158 $0.00
99408 12 12 $0.00
99395 95 65 $0.00
3045F 12 12 $0.00
G8598 Asa/antiplat ther used 40 38 $0.00
90623 67 38 $0.00
91313 160 148 $0.00
99396 22 16 $0.00
G0101 Ca screen;pelvic/breast exam 398 211 $0.00
3046F 59 56 $0.00
G9904 Doc med rsn no tbco scrn 16 16 $0.00