Medicaid Provider Spending

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

DR GUILLERMO MENDOZA - INT MED - LLC

NPI: 1932686003 · OVIEDO, FL 32765 · General Practice Physician · NPI assigned 07/23/2018

$13K
Total Medicaid Paid
1,020
Total Claims
920
Beneficiaries
9
Codes Billed
2020-02
First Month
2024-06
Last Month

Provider Details

Authorized OfficialMENDOZA FONSECA, GUILLERMO (PRESIDENT)
NPI Enumeration Date07/23/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $0.00
2022 90 $2K
2023 750 $9K
2024 165 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 175 161 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 194 162 $4K
99490 Ccm add 20min 100 90 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 14 $949.95
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 25 24 $0.00
2000F 369 339 $0.00
96127 80 71 $0.00
1220F 46 44 $0.00
2010F 15 15 $0.00