Medicaid Provider Spending

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

BELLA VISTA HOSPITAL INC

NPI: 1982285482 · MAYAGUEZ, PR 00682 · Neurology with Special Qualifications in Child Neurology Physician · NPI assigned 04/16/2021

$35K
Total Medicaid Paid
304
Total Claims
302
Beneficiaries
5
Codes Billed
2021-11
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRATACOS, JOSE (CFO)
Parent OrganizationBELLA VISTA HOSPITAL INC
NPI Enumeration Date04/16/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 77 $1K
2022 13 $602.03
2023 214 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95819 49 49 $11K
99205 Prolong outpt/office vis 114 113 $9K
95957 57 56 $7K
99215 Prolong outpt/office vis 50 50 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34 34 $3K