Medicaid Provider Spending

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

MONTALVO AYALA, RAFAEL

NPI: 1891993507 · NORTH PROVIDENCE, RI 02904 · 208000000X

$173K
Total Medicaid Paid
5,305
Total Claims
4,683
Beneficiaries
17
Codes Billed
2018-01
First Month
2022-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,298 $45K
2019 1,421 $43K
2020 972 $26K
2021 1,078 $38K
2022 536 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 1,832 1,660 $107K
99214 272 215 $19K
90471 1,098 1,049 $14K
99392 66 54 $6K
96110 540 516 $5K
90472 267 238 $5K
99212 131 122 $5K
99393 43 41 $4K
U0002 Covid-19 lab test non-cdc 112 95 $3K
99391 24 24 $2K
99050 61 57 $2K
0002A 12 12 $499.56
90686 549 308 $465.16
99173 167 165 $361.90
99188 26 26 $289.92
96127 40 36 $249.08
94760 65 65 $116.98