Medicaid Provider Spending

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

CENTRO DR. EDWIN F. GIRAU NIEVES

NPI: 1912109448 · VEGA ALTA, PR 00692 · Clinic/Center · NPI assigned 06/05/2007

$12K
Total Medicaid Paid
2,129
Total Claims
1,991
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialSAMO, EVELYN (SECRETARIA)
NPI Enumeration Date06/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,063 $4K
2019 440 $2K
2020 259 $2K
2021 367 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,211 1,141 $7K
90472 Immunization administration, each additional vaccine (list separately) 489 448 $4K
90651 140 140 $474.54
90670 49 48 $201.30
90656 127 101 $129.60
90707 20 20 $0.00
90734 30 30 $0.00
90715 31 31 $0.00
90716 32 32 $0.00