NPI: 1124509948 · BARRANQUITAS, PR 00794 · 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 |
|---|---|---|
| 2019 | 873 | $3K |
| 2020 | 4,296 | $26K |
| 2021 | 13,873 | $198K |
| 2022 | 6,663 | $80K |
| 2023 | 5,316 | $124K |
| 2024 | 4,368 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8,376 | 7,065 | $77K |
| 0004A | 1,584 | 908 | $40K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3,320 | 2,746 | $37K |
| 90651 | 774 | 626 | $33K | |
| 0012A | 737 | 735 | $29K | |
| 0002A | 724 | 713 | $25K | |
| 0001A | 819 | 784 | $25K | |
| 0011A | 798 | 785 | $24K | |
| 91307 | 1,206 | 1,113 | $20K | |
| 0072A | 537 | 534 | $20K | |
| 90670 | 878 | 769 | $20K | |
| 90686 | 2,403 | 2,246 | $16K | |
| 90677 | 330 | 274 | $15K | |
| 0071A | 615 | 613 | $15K | |
| 0054A | 575 | 543 | $15K | |
| 0064A | 644 | 375 | $14K | |
| 90621 | 118 | 87 | $8K | |
| 90656 | 921 | 690 | $7K | |
| 0124A | 178 | 137 | $7K | |
| 90715 | 318 | 248 | $4K | |
| 90716 | 355 | 309 | $4K | |
| 90707 | 366 | 315 | $3K | |
| 90680 | 295 | 247 | $2K | |
| 90633 | 425 | 347 | $2K | |
| 90620 | 18 | 12 | $2K | |
| 90697 | 132 | 101 | $1K | |
| 90696 | 54 | 46 | $832.00 | |
| 0003A | 15 | 15 | $600.00 | |
| 0074A | 13 | 13 | $520.00 | |
| 90732 | 25 | 25 | $269.85 | |
| 90688 | 508 | 504 | $131.88 | |
| 90674 | 72 | 72 | $87.66 | |
| 90734 | 240 | 221 | $44.00 | |
| 90681 | 33 | 30 | $4.00 | |
| 90700 | 40 | 37 | $4.00 | |
| 90647 | 25 | 25 | $4.00 | |
| 90744 | 12 | 12 | $4.00 | |
| 90698 | 113 | 102 | $4.00 | |
| 91306 | 636 | 373 | $1.15 | |
| 90619 | 440 | 329 | $0.03 | |
| 91300 | 3,490 | 2,453 | $0.02 | |
| 90685 | 153 | 96 | $0.00 | |
| 91312 | 178 | 137 | $0.00 | |
| 91305 | 190 | 183 | $0.00 | |
| 90657 | 102 | 89 | $0.00 | |
| 91301 | 1,533 | 1,505 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 71 | 60 | $0.00 |