T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$3.23B
$3,233,529,336
Beneficiaries
117.4M
117,358,402
$/Beneficiary
$28
$22 per claim
Providers
9,168
0 procedures
Puerto Rico — total payments per month (nominal $)
Puerto Rico — average spending per beneficiary per month
Each dot is a procedure. X = avg cost per claim. Y = total claims.
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| # | HCPCS | Total Paid▼ | $/Claim | Claims | Beneficiaries | Providers |
|---|---|---|---|---|---|---|
| 1 | 99213 | $136.4M | $10 | 13,668,035 | 10,970,258 | 3,223 |
| 2 | J9271 | $101.6M | $9,779 | 10,385 | 7,433 | 6 |
| 3 | 92507 | $70.6M | $49 | 1,429,402 | 280,852 | 139 |
| 4 | 87426 | $60.6M | $39 | 1,551,525 | 1,368,476 | 645 |
| 5 | D1110 | $52.4M | $27 | 1,948,664 | 1,687,987 | 987 |
| 6 | J9035 | $51.8M | $2,820 | 18,386 | 11,479 | 23 |
| 7 | 84443 | $50.9M | $15 | 3,390,355 | 3,122,387 | 766 |
| 8 | 93306 | $48.3M | $213 | 227,091 | 194,095 | 212 |
| 9 | 80061 | $43.1M | $12 | 3,504,845 | 3,229,360 | 805 |
| 10 | 99203 | $41.3M | $51 | 813,225 | 719,465 | 1,394 |
| 11 | 88305 | $40.4M | $85 | 476,153 | 394,860 | 32 |
| 12 | 99283 | $39.5M | $39 | 1,009,498 | 816,437 | 499 |
| 13 | G2023 | $38.2M | $23 | 1,654,571 | 1,449,187 | 583 |
| 14 | 99214 | $38.1M | $28 | 1,348,665 | 1,106,609 | 897 |
| 15 | 99233 | $37.2M | $76 | 489,252 | 178,433 | 386 |
| 16 | A9276 | $36.7M | $553 | 66,312 | 49,663 | 4 |
| 17 | 85025 | $34.8M | $7 | 5,167,158 | 4,631,319 | 844 |
| 18 | 92012 | $34.5M | $50 | 684,266 | 588,104 | 354 |
| 19 | 80053 | $33.6M | $9 | 3,546,039 | 3,237,486 | 787 |
| 20 | J9299 | $32.1M | $7,476 | 4,294 | 2,635 | 4 |
| 21 | S9123 | $31.6M | $800 | 39,522 | 6,191 | 2 |
| 22 | A0110 | $28.5M | $33 | 862,311 | 65,803 | 19 |
| 23 | 99232 | $27.5M | $49 | 556,644 | 196,933 | 453 |
| 24 | 99284 | $27.4M | $70 | 392,657 | 314,828 | 335 |
| 25 | 77067 | $26.1M | $67 | 386,567 | 312,499 | 153 |
287 rows · Page 1 of 12
Each dot is a provider. Color = spending trend direction.
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| # | Provider | Total Paid▼ | $/Claim | $/Beneficiary | Growth | Procedures |
|---|---|---|---|---|---|---|
| 1 | 1306182548 ALIVIA SPECIALTY, LLC | $189.0M | $1,798 | $2,659 | +5197.4% | 60 |
| 2 | 1003989831 FARMACIA DORAL, INC. | $115.6M | $1,403 | $2,091 | +54.3% | 42 |
| 3 | 1225016140 LABORATORIO DE PATOLOGIA DR NOY | $45.6M | $35 | $39 | +78.1% | 29 |
| 4 | 1740460583 HATO REY PATHOLOGY ASSOCIATES INC | $42.0M | $60 | $72 | +174.9% | 88 |
| 5 | 1164421822 BEST OPTION HEALTHCARE PUERTO RICO LLC | $41.5M | $149 | $820 | -35.6% | 52 |
| 6 | 1164402038 LABORATORIO CLINICO BORINQUEN, INC | $37.1M | $13 | $15 | +126.8% | 202 |
| 7 | 1205228343 LEARN & GROW THERAPY GROUP LLC | $32.2M | $61 | $226 | +119.1% | 18 |
| 8 | 1831234301 PEDIATRIC HOME CARE SERVICES LLC | $31.8M | $750 | $5,102 | +48.8% | 2 |
| 9 | 1043406952 ELDERLY TRANSPORTATION SERVICES, LLC | $25.6M | $40 | $457 | -44.2% | 8 |
| 10 | 1902808108 NAZARENO ENTERPRISES AND SERVICES LLC | $23.8M | $664 | $781 | +627.7% | 6 |
| 11 | 1285018457 ABSOLIFE FMS CORP | $23.5M | $313 | $390 | +1704.3% | 18 |
| 12 | 1578560447 HOME ORTHOPEDICS CORP | $20.7M | $2,366 | $2,900 | +119.2% | 11 |
| 13 | 1932240702 MEDTRONIC PUERTO RICO OPERATIONS | $19.7M | $147 | $179 | +265.9% | 15 |
| 14 | 1033183603 CARIBBEAN IMAGING AND RADIATION TREATMENT CENTER,INC | $19.3M | $106 | $148 | +64.7% | 70 |
| 15 | 1134119233 SOUTHERN PATHOLOGY SERVICES, INC. | $18.9M | $54 | $63 | +102.4% | 49 |