Puerto Rico
#46 in Medicaid spending (0.3% of national total)
Total Spending
$3.23B
Total Claims
146.4M
Providers
9,168
Avg Cost/Claim
$22
Enrollment (Latest)
0
ACA Expansion
N/A
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
ALIVIA SPECIALTY, LLC Pharmacy | $189.0M |
FARMACIA DORAL, INC. Durable Medical Equipment & Medical Supplies | $115.6M |
LABORATORIO DE PATOLOGIA DR NOY Pathology | $45.6M |
HATO REY PATHOLOGY ASSOCIATES INC Clinical Medical Laboratory | $42.0M |
BEST OPTION HEALTHCARE PUERTO RICO LLC Durable Medical Equipment & Medical Supplies | $41.5M |
LABORATORIO CLINICO BORINQUEN, INC Clinical Medical Laboratory | $37.1M |
LEARN & GROW THERAPY GROUP LLC Psychologist | $32.2M |
PEDIATRIC HOME CARE SERVICES LLC Skilled Nursing Facility | $31.8M |
ELDERLY TRANSPORTATION SERVICES, LLC Non-emergency Medical Transport (VAN) | $25.6M |
NAZARENO ENTERPRISES AND SERVICES LLC Durable Medical Equipment & Medical Supplies | $23.8M |
ABSOLIFE FMS CORP Durable Medical Equipment & Medical Supplies | $23.5M |
HOME ORTHOPEDICS CORP Prosthetic/Orthotic Supplier | $20.7M |
MEDTRONIC PUERTO RICO OPERATIONS Durable Medical Equipment & Medical Supplies | $19.7M |
CARIBBEAN IMAGING AND RADIATION TREATMENT CENTER,INC Clinic/Center | $19.3M |
SOUTHERN PATHOLOGY SERVICES, INC. Pathology | $18.9M |
NORTHWEST PATHOLOGY CSP Clinical Medical Laboratory | $16.9M |
VIMAR THERAPY GROUP INC Clinic/Center | $16.7M |
ORTHOBONE, INC Durable Medical Equipment & Medical Supplies | $15.5M |
QUEST DIAGNOSTICS OF PUERTO RICO INC Clinical Medical Laboratory | $14.9M |
SOCIEDAD DE SERVICIOS NEONATALES DE ARECIBO Pediatrics | $14.3M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| 99213 | Office o/p est low 20 min | $136.4M |
| L8699 | (no description) | $104.8M |
| J9271 | Inj pembrolizumab | $101.6M |
| 92507 | Tx sp lang voice comm indiv | $70.6M |
| 87426 | Sarscov coronavirus ag ia | $60.6M |
| D1110 | Dental prophylaxis adult | $52.4M |
| J9035 | Bevacizumab injection | $51.8M |
| 84443 | Assay thyroid stim hormone | $50.9M |
| 93306 | Tte w/doppler complete | $48.3M |
| 80061 | Lipid panel | $43.1M |
| 99203 | Office o/p new low 30 min | $41.3M |
| 88305 | Tissue exam by pathologist | $40.4M |
| 99283 | Emergency dept visit low mdm | $39.5M |
| G2023 | (no description) | $38.2M |
| 99214 | Office o/p est mod 30 min | $38.1M |
| 97533 | Sensory integration | $38.1M |
| 99233 | Sbsq hosp ip/obs high 50 | $37.2M |
| A9276 | Disposable sensor, cgm sys | $36.7M |
| 85025 | Complete cbc w/auto diff wbc | $34.8M |
| 92012 | Intrm oph exam est patient | $34.5M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinical Medical Laboratory | $574.0M | 777 |
| Clinic/Center | $333.8M | 901 |
| Durable Medical Equipment & Medical Supplies | $308.8M | 44 |
| Internal Medicine | $275.6M | 1,193 |
| Dentist | $228.9M | 969 |
| Pharmacy | $209.5M | 38 |
| Pathology | $90.3M | 16 |
| Pediatrics | $86.4M | 286 |
| Specialist | $85.8M | 316 |
| General Practice | $79.2M | 1,195 |
| Ophthalmology | $77.6M | 156 |
| Prosthetic/Orthotic Supplier | $70.4M | 12 |
| Obstetrics & Gynecology | $64.4M | 246 |
| Radiology | $64.4M | 106 |
| General Acute Care Hospital | $55.7M | 70 |
| Ambulance | $53.3M | 217 |
| Psychologist | $52.7M | 353 |
| Speech-Language Pathologist | $42.1M | 83 |
| Optometrist | $40.4M | 315 |
| Non-emergency Medical Transport (VAN) | $36.5M | 14 |