Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRO DE VACUNACION SABANENO

NPI: 1164168019 · SABANA GRANDE, PR 00637 · Health Service Clinic/Center · NPI assigned 05/12/2022

$56K
Total Medicaid Paid
6,147
Total Claims
5,583
Beneficiaries
22
Codes Billed
2022-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAMOS, ALEX (PRESIDENT)
NPI Enumeration Date05/12/2022

Related Entities

Other providers sharing the same authorized official: RAMOS, ALEX

ProviderCityStateTotal Paid
MYRNA AGUILAR DENTAL CORPORATION TEMECULA CA $594.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 664 $268.15
2023 2,885 $30K
2024 2,598 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,944 1,796 $22K
90472 Immunization administration, each additional vaccine (list separately) 1,015 945 $12K
90651 271 238 $3K
90734 295 280 $3K
90688 125 124 $2K
90677 212 200 $2K
90670 123 94 $2K
90715 239 205 $2K
90697 75 72 $2K
90649 181 145 $2K
90707 164 145 $1K
90621 104 97 $689.32
90460 Immunization administration through 18 years of age via any route, first or only component 449 393 $566.19
90656 51 48 $448.80
90633 143 124 $376.70
90620 33 33 $338.88
90461 283 236 $326.71
90686 212 203 $299.09
90716 156 135 $90.30
90698 12 12 $0.00
90756 44 44 $0.00
90681 16 14 $0.00