Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

PR#49 of 49 states

Puerto Rico Medicaid Spending

Puerto Rico's Medicaid program paid $189.0M across 1 providers from 2018–2024. 1 provider in Puerto Rico are flagged on our risk watchlist. The top procedure code is J9271 (Injection, pembrolizumab, 1 mg) at $58.9M.

Total Spending

$189.0M

Total Claims

105K

Top Providers

1

Beneficiaries

71K

Largest Provider

Alivia Specialty LLC

$189.0M

Top Procedure

J9271

$58.9M

Flagged Providers

1

on risk watchlist

Avg Per Provider

$189.0M

across 1 providers

Yearly Spending Trend

Top Providers in Puerto Rico

1

Alivia Specialty LLC

Pharmacy Specialty Pharmacy · Guaynabo

$189.0M

105K claims

Flagged Providers in Puerto Rico

Alivia Specialty LLC

Rate Outlier

$189.0M

1 flag

Spending by Top Procedures

J9271Injection, pembrolizumab, 1 mg$58.9M
J9035Injection, bevacizumab, 10 mg$19.0M
J9299Nivolumab (Opdivo) injection, 1 mg$14.6M
J9306$14.1M
J9355$9.4M

Top Procedures in Puerto Rico

CodeTotal Paid
J9271

Injection, pembrolizumab, 1 mg

$58.9M
J9035

Injection, bevacizumab, 10 mg

$19.0M
J9299

Nivolumab (Opdivo) injection, 1 mg

$14.6M
J9306$14.1M
J9355$9.4M
J0897$8.3M
J9358$7.3M
J9312$6.2M
J2777$5.7M
J9022$5.4M
Q5107$4.6M
J9042$4.0M
J9145$3.9M
Q5117$3.6M
J9055$3.5M

See Also: Top Spending States

NY$81.15BCA$36.76BMA$30.75BNJ$16.15BMI$12.03B
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