FAMILY HEALTH GROUP
NPI: 1053505503
· SAN SEBASTIAN, PR 00685
· Health Service Clinic/Center
· NPI assigned 08/28/2007
Provider Details
| Authorized Official | LOPEZ, ISRAEL (ADMINISTRADOR) |
| NPI Enumeration Date | 08/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
762 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
243 |
173 |
$868.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
84 |
56 |
$368.00 |
| 90686 |
|
272 |
144 |
$240.36 |
| 90656 |
|
74 |
39 |
$21.60 |
| 90649 |
|
53 |
26 |
$0.00 |
| 90733 |
|
36 |
20 |
$0.00 |