Medicaid Provider Spending

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

COOPERATIVA DE FACULTAD MEDICA SANACOOP

NPI: 1942638655 · BAYAMON, PR 00961 · Health Service Clinic/Center · NPI assigned 10/16/2013

$606.13
Total Medicaid Paid
98
Total Claims
98
Beneficiaries
2
Codes Billed
2019-09
First Month
2019-09
Last Month

Provider Details

Authorized OfficialZAYAS, ILIA (CEO)
NPI Enumeration Date10/16/2013

Related Entities

Other providers sharing the same authorized official: ZAYAS, ILIA

ProviderCityStateTotal Paid
CDT GMSP, INC BAYAMON PR $4.66M
CDT GMSP INC BAYAMON PR $159K
CDT G.M,S.P., INC BAYAMON PR $33K
OPTICA CDTGMSP BAYAMON PR $6K
GRUPO MEDICO SAN PABLO INC BAYAMON PR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 98 $606.13

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90656 49 49 $606.13
G0008 Administration of influenza virus vaccine 49 49 $0.00