Medicaid Provider Spending

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

HOSPITAL COMUNITARIO BUEN SAMARITANO INC

NPI: 1922034776 · AGUADILLA, PR 00603 · General Acute Care Hospital · NPI assigned 06/23/2006

$105K
Total Medicaid Paid
9,422
Total Claims
8,260
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNIEVES ROSARIO, JESUS (EXECUTIVE DIRECTOR)
NPI Enumeration Date06/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,073 $4K
2019 3,329 $61K
2020 58 $275.40
2021 57 $232.00
2022 87 $359.80
2023 3,101 $28K
2024 717 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,060 2,945 $33K
74177 Computed tomography, abdomen and pelvis; with contrast material 384 364 $28K
70450 Computed tomography, head or brain; without contrast material 462 435 $17K
74176 Computed tomography, abdomen and pelvis; without contrast material 52 51 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,855 2,170 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 267 225 $4K
71046 Radiologic examination, chest; 2 views 638 591 $3K
71045 Radiologic examination, chest; single view 1,263 1,064 $3K
99284 Emergency department visit for the evaluation and management, high severity 48 45 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 116 103 $1K
74021 72 69 $605.44
76830 Ultrasound, transvaginal 31 29 $459.28
72100 41 39 $203.08
72040 34 34 $125.90
73030 18 15 $50.00
77067 Screening mammography, bilateral, including computer-aided detection 69 69 $46.76
73560 12 12 $34.62