NPI: 1053892877 · COROZAL, PR 00783 · Clinic/Center · NPI assigned 08/29/2018
Authorized official AMADOR FERNANDEZ, GLORIA controls 20+ related entities in our dataset. Read more
| Authorized Official | AMADOR FERNANDEZ, GLORIA (EXECUTIVE DIRECTOR) |
| Parent Organization | SALUD INTEGRAL EN LA MONTANA, INC |
| NPI Enumeration Date | 08/29/2018 |
Other providers sharing the same authorized official: AMADOR FERNANDEZ, GLORIA
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,124 | $7K |
| 2021 | 18,385 | $275K |
| 2022 | 7,597 | $80K |
| 2023 | 4,660 | $90K |
| 2024 | 7,197 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7,326 | 6,476 | $85K |
| 0012A | 1,845 | 1,734 | $73K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3,451 | 3,053 | $60K |
| 0011A | 1,770 | 1,742 | $54K | |
| 0002A | 1,179 | 1,134 | $42K | |
| 0001A | 979 | 970 | $32K | |
| 0064A | 833 | 785 | $31K | |
| 0004A | 785 | 730 | $25K | |
| 90651 | 1,189 | 1,070 | $17K | |
| 0071A | 396 | 358 | $14K | |
| 0072A | 341 | 339 | $13K | |
| 90670 | 813 | 767 | $12K | |
| 90686 | 1,832 | 1,760 | $11K | |
| 90715 | 800 | 656 | $11K | |
| 90656 | 535 | 300 | $9K | |
| 90734 | 884 | 786 | $5K | |
| 0124A | 112 | 111 | $4K | |
| 90674 | 169 | 167 | $4K | |
| 0054A | 347 | 271 | $3K | |
| 91320 | 31 | 31 | $3K | |
| 90707 | 551 | 503 | $3K | |
| 90756 | 138 | 133 | $2K | |
| 0134A | 48 | 48 | $2K | |
| 90696 | 114 | 105 | $1K | |
| 90633 | 677 | 622 | $1K | |
| 91307 | 782 | 681 | $1K | |
| 90480 | 35 | 35 | $1K | |
| 90647 | 639 | 605 | $912.59 | |
| 90677 | 441 | 347 | $899.26 | |
| 90620 | 282 | 225 | $628.75 | |
| 0074A | 15 | 15 | $600.00 | |
| 90671 | 23 | 23 | $519.96 | |
| 0082A | 13 | 13 | $480.00 | |
| 90680 | 336 | 283 | $308.80 | |
| 90716 | 566 | 523 | $208.03 | |
| 90723 | 150 | 146 | $157.44 | |
| 90700 | 145 | 126 | $8.00 | |
| 90688 | 220 | 169 | $4.01 | |
| 91306 | 834 | 785 | $0.18 | |
| 91313 | 48 | 48 | $0.00 | |
| 91300 | 3,057 | 2,593 | $0.00 | |
| 91312 | 112 | 111 | $0.00 | |
| 91308 | 24 | 21 | $0.00 | |
| 91305 | 277 | 276 | $0.00 | |
| 91301 | 3,674 | 3,504 | $0.00 | |
| 90657 | 68 | 67 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 22 | 12 | $0.00 |
| 90698 | 25 | 25 | $0.00 | |
| 90697 | 30 | 17 | $0.00 |