Medicaid Provider Spending

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

NPI: 1962280131 · FAJARDO, PR 00738 · General Acute Care Hospital · NPI assigned 09/19/2023

$46K
Total Medicaid Paid
1,524
Total Claims
866
Beneficiaries
4
Codes Billed
2024-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, SARA (CEO)
NPI Enumeration Date09/19/2023

Related Entities

Other providers sharing the same authorized official: LOPEZ, SARA

ProviderCityStateTotal Paid
LABORATORIO CLINICO Y DE REF DE FAJARDO INC FAJARDO PR $2.78M
LABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC. FAJARDO PR $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,524 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74176 Computed tomography, abdomen and pelvis; without contrast material 461 274 $32K
71046 Radiologic examination, chest; 2 views 851 473 $7K
70450 Computed tomography, head or brain; without contrast material 184 105 $6K
71045 Radiologic examination, chest; single view 28 14 $217.07