Medicaid Provider Spending

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

SERVICIOS DE SALUD PRIMARIOS DE AGUAS BUENAS, CSP

NPI: 1992725402 · AGUAS BUENAS, PR 00703 · Health Maintenance Organization · NPI assigned 07/20/2006

$34K
Total Medicaid Paid
23,062
Total Claims
18,954
Beneficiaries
21
Codes Billed
2018-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGONZALEZ GOMEZ, ALFREDO (SOCIO ADMINISTRADOR)
NPI Enumeration Date07/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 130 $0.00
2019 6,050 $1K
2020 3,914 $11K
2021 5,049 $8K
2022 4,181 $8K
2023 2,871 $4K
2024 867 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,143 12,568 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,784 2,868 $11K
96160 196 84 $600.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,570 1,301 $298.34
99441 328 293 $112.41
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $30.00
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 19 18 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 94 75 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 167 127 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 154 117 $0.00
3078F 153 146 $0.00
3077F 12 12 $0.00
3079F 42 40 $0.00
3008F 950 898 $0.00
3074F 131 125 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55 32 $0.00
3017F 14 14 $0.00
88142 162 150 $0.00
2001F 16 16 $0.00
3048F 12 12 $0.00
3075F 46 44 $0.00