Medicaid Provider Spending

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

SOUTHWEST OTO AND HEAD & NECK SURGERY,PSC

NPI: 1891104188 · PONCE, PR 00716 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI assigned 08/12/2014

$2K
Total Medicaid Paid
65
Total Claims
58
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-06
Last Month

Provider Details

Authorized OfficialDOMENECH FAGUNDO, EDGAR (OWNER)
NPI Enumeration Date08/12/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 65 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53 46 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $789.57