Medicaid Provider Spending

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

JCG MEDICAL EMERGENCY SERVICES PSC

NPI: 1902534928 · BAYAMON, PR 00958 · Emergency Medical Services (Emergency Medicine) Physician · NPI assigned 08/09/2022

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code 99284 with only 3 total codes billed. Highly concentrated billing profile.

$2.72M
Total Medicaid Paid
32,309
Total Claims
25,193
Beneficiaries
3
Codes Billed
2022-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLON GRAU, JOSE (PRESIDENT)
NPI Enumeration Date08/09/2022

Related Entities

Other providers sharing the same authorized official: COLON GRAU, JOSE

ProviderCityStateTotal Paid
PUERTO RICO MEDICAL EMERGENCY GROUP P.S.C. PONCE PR $8.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 3,899 $225K
2023 11,487 $952K
2024 16,923 $1.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 28,164 21,687 $2.62M
99283 Emergency department visit for the evaluation and management, moderate severity 1,840 1,734 $77K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,305 1,772 $22K