Familia Cortes-Lebron

Familia Cortes-Lebron was paid $956.89 by Medicaid between Sep 2018 and Feb 2022, across 2 billing codes. Its largest line is 90686, — 98% of everything it billed.

33Billing provider infoFAMILIA CORTES-LEBRON
LAJAS, PR 00667

33aNPI1164537395assigned 08/20/2006

33bProvider typeCommunity/Retail Pharmacy

28Total paid$956.89

24GClaims306

24DCodes billed2

24AFirst – last monthSep 2018 – Feb 2022

Compared with peers

Next to other Community/Retail Pharmacy providers in Puerto Rico

Rank by total paid#15 of 23

Median peer was paid$3K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	50	$342.51
2019	42	$228.36
2020	126	$366.02
2022	88	$20.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90686		98%	142	138	$936.89
G0008	Administration of influenza virus vaccine	2.1%	164	154	$20.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLEBRON, MARISOL (VICE-PRESIDENT)