NPI: 1124259379 · ISABELA, PR 00662 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,481 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 3074F | 116 | 110 | $540.00 | |
| 3078F | 119 | 113 | $540.00 | |
| 1157F | 104 | 96 | $228.00 | |
| 1158F | 112 | 103 | $228.00 | |
| G0008 | Admin influenza virus vac | 17 | 16 | $219.24 |
| 90686 | 15 | 14 | $113.80 | |
| 3048F | 37 | 37 | $80.00 | |
| 99213 | 310 | 259 | $0.00 | |
| 1126F | 53 | 49 | $0.00 | |
| 3017F | 55 | 55 | $0.00 | |
| 3066F | 52 | 50 | $0.00 | |
| 4010F | 39 | 38 | $0.00 | |
| 3061F | 28 | 28 | $0.00 | |
| 3008F | 99 | 92 | $0.00 | |
| 1170F | 56 | 52 | $0.00 | |
| 1030F | 18 | 17 | $0.00 | |
| 3725F | 30 | 26 | $0.00 | |
| 1160F | 104 | 93 | $0.00 | |
| 1159F | 104 | 93 | $0.00 | |
| 2028F | 13 | 12 | $0.00 |