PONCE ADVANCE MEDICAL GROUP
NPI: 1063519122
· PONCE, PUERTO RICO 00717
· Primary Care Clinic/Center
· NPI assigned 09/20/2006
$166K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JIMENEZ RIVERA, RICARDO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,060 |
$15K |
| 2019 |
7,288 |
$19K |
| 2020 |
5,613 |
$18K |
| 2021 |
6,431 |
$42K |
| 2022 |
5,006 |
$29K |
| 2023 |
5,065 |
$18K |
| 2024 |
4,291 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,459 |
7,757 |
$70K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,831 |
4,184 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,519 |
2,039 |
$9K |
| 0002A |
|
408 |
333 |
$8K |
| 0003A |
|
185 |
185 |
$7K |
| 0001A |
|
403 |
342 |
$6K |
| 90651 |
|
1,641 |
1,420 |
$5K |
| 90686 |
|
1,963 |
1,625 |
$3K |
| 0072A |
|
129 |
95 |
$2K |
| 90473 |
|
449 |
382 |
$2K |
| 90461 |
|
716 |
542 |
$2K |
| 90670 |
|
2,187 |
1,908 |
$1K |
| 0124A |
|
41 |
41 |
$1K |
| 0071A |
|
137 |
86 |
$1K |
| 90734 |
|
1,109 |
944 |
$864.94 |
| 90633 |
|
1,823 |
1,556 |
$632.37 |
| 90716 |
|
1,223 |
1,054 |
$518.19 |
| 90677 |
|
347 |
269 |
$425.58 |
| 90707 |
|
1,093 |
918 |
$420.19 |
| 90715 |
|
468 |
393 |
$321.38 |
| 90698 |
|
948 |
808 |
$264.19 |
| 90480 |
|
16 |
13 |
$240.00 |
| 90620 |
|
114 |
102 |
$147.00 |
| 90656 |
|
153 |
58 |
$136.00 |
| 90696 |
|
138 |
104 |
$104.00 |
| 90647 |
|
269 |
250 |
$82.08 |
| 90744 |
|
267 |
223 |
$61.06 |
| 90723 |
|
15 |
15 |
$32.00 |
| 90756 |
|
67 |
61 |
$28.02 |
| 90621 |
|
72 |
65 |
$27.00 |
| 90688 |
|
301 |
227 |
$25.88 |
| 90700 |
|
118 |
94 |
$16.00 |
| 90680 |
|
69 |
56 |
$15.02 |
| 90681 |
|
52 |
42 |
$6.00 |
| 90685 |
|
79 |
71 |
$0.07 |
| 3074F |
|
124 |
104 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
81 |
$0.00 |
| 91307 |
|
102 |
93 |
$0.00 |
| 1170F |
|
137 |
102 |
$0.00 |
| 1125F |
|
19 |
16 |
$0.00 |
| 3008F |
|
140 |
113 |
$0.00 |
| 3079F |
|
20 |
14 |
$0.00 |
| 90619 |
|
41 |
33 |
$0.00 |
| 1126F |
|
24 |
16 |
$0.00 |
| 91300 |
|
361 |
271 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,306 |
1,052 |
$0.00 |
| 1160F |
|
85 |
76 |
$0.00 |
| 1159F |
|
111 |
94 |
$0.00 |
| 3078F |
|
160 |
128 |
$0.00 |
| 90648 |
|
125 |
93 |
$0.00 |
| 0521F |
|
22 |
14 |
$0.00 |
| 3077F |
|
22 |
18 |
$0.00 |
| 91312 |
|
30 |
28 |
$0.00 |