RIOS, AITZA
NPI: 1104043983
· PATILLAS, PR 00723
· Pediatrics Physician
· NPI assigned 04/20/2007
$474.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
63 |
$474.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90461 |
|
21 |
21 |
$294.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
30 |
$180.00 |
| 90670 |
|
12 |
12 |
$0.00 |