Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › OROCOVIS › SALUD INTEGRAL EN LA MONTANA, INC

SALUD INTEGRAL EN LA MONTANA, INC

NPI: 1124509955 · OROCOVIS, PR 00720 · 261Q00000X

$621K
Total Medicaid Paid
45,308
Total Claims
36,627
Beneficiaries
55
Codes Billed
2020-10
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,596 $20K
2021 17,105 $256K
2022 9,991 $99K
2023 8,624 $211K
2024 5,992 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 10,197 8,107 $93K
90472 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 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 Admin influenza virus vac 197 186 $0.00
91301 146 143 $0.00
90732 22 13 $0.00