AGUADA INTERNAL MEDICINE SERVICE PSC
NPI: 1093138067
· AGUADA, PR 00602
· Exclusive Provider Organization
· NPI assigned 01/28/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SOTO, CARLOS (ADMINISTRATOR) |
| NPI Enumeration Date | 01/28/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
147 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 1159F |
|
16 |
16 |
$0.00 |
| 3078F |
|
17 |
16 |
$0.00 |
| 1160F |
|
15 |
15 |
$0.00 |
| 1158F |
|
16 |
16 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
16 |
$0.00 |
| 1170F |
|
17 |
16 |
$0.00 |