NPI: 1124509955 · OROCOVIS, PR 00720 · 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 |
|---|---|---|
| 2020 | 3,596 | $20K |
| 2021 | 17,105 | $256K |
| 2022 | 9,991 | $99K |
| 2023 | 8,624 | $211K |
| 2024 | 5,992 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 10,197 | 8,107 | $93K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4,627 | 3,769 | $54K |
| 90651 | 1,537 | 1,249 | $51K | |
| 0002A | 1,588 | 1,452 | $50K | |
| 90671 | 401 | 297 | $41K | |
| 0071A | 813 | 502 | $31K | |
| 0004A | 1,296 | 810 | $30K | |
| 0011A | 863 | 854 | $29K | |
| 0001A | 1,304 | 1,254 | $29K | |
| 0012A | 834 | 821 | $25K | |
| 90686 | 3,298 | 2,696 | $19K | |
| 90716 | 1,142 | 939 | $17K | |
| 0054A | 562 | 541 | $17K | |
| 90620 | 871 | 710 | $17K | |
| 0072A | 407 | 376 | $16K | |
| 0064A | 686 | 441 | $16K | |
| 91307 | 1,314 | 881 | $15K | |
| 90707 | 1,133 | 925 | $12K | |
| 90677 | 350 | 301 | $8K | |
| 90670 | 1,084 | 928 | $7K | |
| 0124A | 183 | 150 | $7K | |
| 90656 | 911 | 638 | $6K | |
| 90633 | 1,047 | 859 | $5K | |
| 90696 | 344 | 281 | $3K | |
| 0081A | 84 | 84 | $3K | |
| 90715 | 491 | 430 | $2K | |
| 90621 | 76 | 60 | $2K | |
| 90697 | 241 | 187 | $2K | |
| 0082A | 56 | 56 | $2K | |
| 0074A | 71 | 71 | $2K | |
| 90698 | 172 | 153 | $2K | |
| 0134A | 38 | 28 | $1K | |
| 0003A | 25 | 25 | $960.00 | |
| 90648 | 770 | 653 | $914.27 | |
| 90480 | 30 | 25 | $680.00 | |
| 90734 | 530 | 482 | $579.72 | |
| 0083A | 13 | 13 | $520.00 | |
| 90680 | 279 | 253 | $424.00 | |
| 90700 | 201 | 160 | $413.30 | |
| 90674 | 207 | 176 | $312.20 | |
| 91320 | 26 | 22 | $126.75 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22 | 12 | $88.00 |
| 90723 | 231 | 205 | $36.00 | |
| 91306 | 672 | 435 | $1.57 | |
| 91300 | 2,163 | 1,616 | $0.05 | |
| 90619 | 722 | 564 | $0.02 | |
| 91313 | 38 | 28 | $0.00 | |
| 90681 | 179 | 146 | $0.00 | |
| 91308 | 195 | 161 | $0.00 | |
| 91312 | 332 | 229 | $0.00 | |
| 0121A | 111 | 56 | $0.00 | |
| 91305 | 176 | 174 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 197 | 186 | $0.00 |
| 91301 | 146 | 143 | $0.00 | |
| 90732 | 22 | 13 | $0.00 |