Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CENTRO DE DIAGNOSTICO Y TRATAMIENTO LAS PIEDRAS

NPI: 1972758076 · LAS PIEDRAS, PR 00771 · Clinic/Center · NPI assigned 11/18/2008

$4K
Total Medicaid Paid
1,020
Total Claims
937
Beneficiaries
10
Codes Billed
2018-08
First Month
2020-02
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, CARMEN (DIRECTORA EJECUTIVA)
Parent OrganizationCENTRO DE DIAGNOSTICO Y TRATAMIENTO LAS PIEDRAS
NPI Enumeration Date11/18/2008

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, CARMEN

ProviderCityStateTotal Paid
MI ILUSION LLC PALMVIEW TX $1.54M
SECCION A NINOS CON NECESIDADES ESPECIALES ARECIBO PR $294K
SECCION A NINO CON NECESIDADES ESPECIALES CAGUAS PR $129K
SECCION A NINOS CON NECESIDADES ESPECIALES MAYAGUEZ PR $16K
SECCION A NINOS CON NECESIDADES ESPECIALES BAYAMON PR $8K
CENTRO DE DIAGNOSTICO Y TRATAMIENTO LAS PIEDRAS LAS PIEDRAS PR $51.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 744 $4K
2019 186 $636.00
2020 90 $198.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90472 Immunization administration, each additional vaccine (list separately) 205 193 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 331 298 $2K
90658 196 172 $160.00
90633 61 57 $120.00
90670 41 41 $52.00
90715 51 41 $38.00
90651 81 81 $36.00
90698 14 14 $20.00
90707 26 26 $10.00
90716 14 14 $6.00