Medicaid Provider Spending

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

PURA VIDA MEDICAL CENTER, LLC

NPI: 1922523604 · HIALEAH, FL 33012 · Primary Care Clinic/Center · NPI assigned 08/03/2017

$34K
Total Medicaid Paid
4,593
Total Claims
3,682
Beneficiaries
15
Codes Billed
2018-12
First Month
2022-02
Last Month

Provider Details

Authorized OfficialCARBAJAL, NURY (OWNER)
NPI Enumeration Date08/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112 $233.15
2019 1,502 $7K
2020 1,034 $11K
2021 1,571 $16K
2022 374 $190.02

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,922 1,469 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 138 122 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 169 145 $3K
99442 203 162 $1K
3008F 1,029 834 $909.30
99385 13 13 $853.07
36415 Collection of venous blood by venipuncture 356 313 $99.83
3074F 110 99 $0.00
94760 16 13 $0.00
3079F 14 13 $0.00
1170F 16 12 $0.00
3078F 102 90 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 313 229 $0.00
1159F 96 84 $0.00
1160F 96 84 $0.00