NPI: 1164466363 · SAN SEBASTIAN, PR 00685 · 261QH0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18,293 | $344K |
| 2019 | 810 | $37K |
| 2020 | 215 | $8K |
| 2021 | 19,196 | $585K |
| 2022 | 5,067 | $168K |
| 2023 | 959 | $33K |
| 2024 | 736 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 77067 | 10,767 | 5,051 | $237K | |
| 0002A | 6,755 | 6,149 | $208K | |
| 0001A | 6,742 | 6,410 | $176K | |
| 0003A | 3,174 | 3,154 | $125K | |
| 99051 | 2,599 | 2,034 | $115K | |
| 0064A | 1,653 | 1,634 | $65K | |
| 0071A | 1,076 | 1,063 | $41K | |
| 0072A | 847 | 835 | $33K | |
| 0012A | 707 | 689 | $27K | |
| 76641 | 764 | 481 | $22K | |
| 77066 | Tomosynthesis, mammo | 888 | 330 | $19K |
| 0011A | 692 | 668 | $18K | |
| 74176 | 99 | 55 | $13K | |
| 0031A | 302 | 300 | $11K | |
| 99214 | 134 | 129 | $11K | |
| 76700 | 262 | 180 | $10K | |
| 76830 | 212 | 140 | $9K | |
| 77065 | Tomosynthesis, mammo | 433 | 170 | $8K |
| 0053A | 634 | 619 | $7K | |
| 71046 | 597 | 500 | $6K | |
| 77080 | 289 | 106 | $6K | |
| 0013A | 151 | 151 | $6K | |
| 72100 | 408 | 262 | $4K | |
| 71045 | 676 | 419 | $4K | |
| 0054A | 145 | 144 | $4K | |
| 73560 | 351 | 205 | $4K | |
| 90688 | 220 | 197 | $4K | |
| 74018 | 481 | 317 | $4K | |
| 73620 | 209 | 128 | $2K | |
| 76536 | 70 | 52 | $2K | |
| 0124A | 59 | 54 | $2K | |
| 99211 | 16 | 16 | $2K | |
| 73600 | 96 | 76 | $1K | |
| 70250 | 73 | 65 | $1K | |
| G0008 | Admin influenza virus vac | 218 | 195 | $972.40 |
| 93010 | 531 | 260 | $861.50 | |
| 73030 | 60 | 48 | $783.54 | |
| 76856 | 13 | 12 | $762.10 | |
| 0004A | 19 | 19 | $760.00 | |
| 70450 | 24 | 13 | $730.84 | |
| 73120 | 97 | 49 | $690.05 | |
| 0134A | 12 | 12 | $320.00 | |
| 73630 | 25 | 25 | $304.32 | |
| 73100 | 24 | 14 | $290.51 | |
| 0052A | 36 | 35 | $280.00 | |
| 72040 | 14 | 13 | $264.18 | |
| 73070 | 17 | 12 | $206.35 | |
| 99213 | 1,605 | 909 | $25.36 |