SALUD INTEGRAL EN LA MONTANA, INC
NPI: 1013412766
· BARRANQUITAS, PR 00794
· 291U00000X
$244K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
16,365 |
$12K |
| 2020 |
19,032 |
$46K |
| 2021 |
24,970 |
$39K |
| 2022 |
23,390 |
$45K |
| 2023 |
27,044 |
$43K |
| 2024 |
24,542 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
|
1,945 |
1,668 |
$27K |
| 84443 |
|
11,550 |
10,938 |
$23K |
| 80061 |
|
13,015 |
12,318 |
$20K |
| 87491 |
|
3,725 |
3,533 |
$19K |
| 85025 |
|
16,342 |
15,282 |
$16K |
| 80053 |
|
12,876 |
12,141 |
$16K |
| 87591 |
|
2,425 |
2,271 |
$14K |
| 87426 |
|
1,427 |
1,325 |
$14K |
| 80074 |
|
1,289 |
1,204 |
$12K |
| 82306 |
|
4,323 |
4,094 |
$11K |
| G2023 |
Specimen collect covid-19 |
1,190 |
1,082 |
$10K |
| 83036 |
|
8,481 |
8,008 |
$9K |
| 82274 |
|
5,324 |
5,043 |
$9K |
| 86703 |
|
4,776 |
4,559 |
$8K |
| 81000 |
|
14,534 |
13,623 |
$6K |
| 80048 |
|
3,159 |
2,988 |
$3K |
| 84153 |
|
1,111 |
1,047 |
$3K |
| 86592 |
|
3,987 |
3,779 |
$3K |
| 82043 |
|
4,048 |
3,750 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
138 |
137 |
$2K |
| 86803 |
|
1,285 |
1,235 |
$2K |
| 87086 |
|
2,087 |
1,966 |
$2K |
| 86738 |
|
685 |
653 |
$2K |
| 82570 |
|
2,994 |
2,771 |
$2K |
| 84439 |
|
1,057 |
979 |
$2K |
| 87804 |
|
682 |
643 |
$2K |
| 82607 |
|
763 |
717 |
$1K |
| 84154 |
|
451 |
431 |
$839.02 |
| 80050 |
|
4,091 |
3,920 |
$710.61 |
| 85730 |
|
588 |
560 |
$547.06 |
| 82728 |
|
333 |
314 |
$502.24 |
| 85610 |
|
632 |
595 |
$393.46 |
| 80069 |
|
558 |
523 |
$381.43 |
| 86800 |
|
112 |
103 |
$348.32 |
| 85651 |
|
492 |
461 |
$287.70 |
| 82746 |
|
250 |
241 |
$270.73 |
| 83970 |
|
57 |
54 |
$243.86 |
| 82947 |
|
706 |
669 |
$195.33 |
| 83540 |
|
313 |
273 |
$125.30 |
| 83550 |
|
273 |
255 |
$111.98 |
| 83655 |
|
109 |
105 |
$95.62 |
| 84550 |
|
95 |
91 |
$85.16 |
| 86038 |
|
51 |
51 |
$83.44 |
| 82950 |
|
121 |
118 |
$80.11 |
| 84146 |
|
27 |
27 |
$77.46 |
| 86580 |
|
94 |
87 |
$77.17 |
| 82044 |
|
307 |
301 |
$75.17 |
| 84460 |
|
157 |
150 |
$73.22 |
| 84450 |
|
131 |
125 |
$61.88 |
| 86140 |
|
49 |
49 |
$53.12 |
| 84703 |
|
24 |
24 |
$36.40 |
| 36415 |
|
12 |
12 |
$20.00 |
| 82952 |
|
36 |
34 |
$10.17 |
| 87177 |
|
24 |
24 |
$7.69 |
| 82042 |
|
15 |
15 |
$0.00 |
| 82747 |
|
17 |
15 |
$0.00 |