Medicaid Provider Spending

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

MED CARIBE CSP

NPI: 1962564773 · SAN JUAN, PR 00920 · Exclusive Provider Organization · NPI assigned 12/15/2006

$137K
Total Medicaid Paid
99,637
Total Claims
87,002
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCANDELAS, HECTOR (PRESIDENT)
NPI Enumeration Date12/15/2006

Related Entities

Other providers sharing the same authorized official: CANDELAS, HECTOR

ProviderCityStateTotal Paid
METRO MEDICAL HEALTH GROUP, INC. BAYAMON PR $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,942 $12K
2019 16,739 $15K
2020 11,000 $8K
2021 12,617 $12K
2022 14,338 $19K
2023 15,157 $43K
2024 18,844 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96160 2,281 2,250 $66K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,275 32,005 $36K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,822 2,577 $19K
99442 9,647 8,684 $5K
99441 17,679 15,757 $4K
99215 Prolong outpt/office vis 307 298 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 289 274 $2K
99443 1,141 1,039 $670.16
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 498 476 $321.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 950 886 $305.76
88150 515 503 $205.20
99348 12 12 $160.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 51 51 $118.45
90791 Psychiatric diagnostic evaluation 72 72 $40.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 121 120 $23.69
1159F 2,894 2,735 $0.00
3078F 4,125 3,680 $0.00
1160F 2,315 2,193 $0.00
3077F 1,074 997 $0.00
0521F 12 12 $0.00
99401 16 12 $0.00
3050F 13 13 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24 24 $0.00
90837 Psychotherapy, 53 minutes with patient 15 13 $0.00
3074F 3,797 3,431 $0.00
3079F 1,259 1,208 $0.00
3008F 6,130 5,432 $0.00
3017F 173 170 $0.00
3044F 157 157 $0.00
3080F 281 269 $0.00
90834 Psychotherapy, 45 minutes with patient 300 297 $0.00
96127 121 117 $0.00
3075F 763 735 $0.00
3011F 268 265 $0.00
3049F 32 32 $0.00
3048F 117 115 $0.00
1125F 24 24 $0.00
88141 16 16 $0.00
96150 13 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00
99344 13 13 $0.00
99386 13 13 $0.00