CLINICA FAMILIAR PAJUIL CSP
NPI: 1174850283
· HATILLO, PR 00659
· Primary Care Clinic/Center
· NPI assigned 11/10/2009
$144K
Total Medicaid Paid
Provider Details
| Authorized Official | VIERA, NANCY (MD/OWNER) |
| NPI Enumeration Date | 11/10/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
690 |
$970.10 |
| 2020 |
70 |
$280.00 |
| 2021 |
7,941 |
$119K |
| 2022 |
929 |
$23K |
| 2023 |
357 |
$820.00 |
| 2024 |
234 |
$168.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
1,695 |
1,353 |
$60K |
| 0001A |
|
1,840 |
1,482 |
$32K |
| 0004A |
|
727 |
707 |
$28K |
| 0071A |
|
254 |
254 |
$10K |
| 0072A |
|
250 |
250 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
251 |
$996.00 |
| 90686 |
|
201 |
201 |
$640.06 |
| 0054A |
|
34 |
34 |
$639.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
101 |
$537.66 |
| 90688 |
|
119 |
119 |
$468.00 |
| 90651 |
|
167 |
146 |
$336.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
66 |
66 |
$248.00 |
| 90658 |
|
43 |
43 |
$172.00 |
| 3078F |
|
135 |
109 |
$126.42 |
| 3074F |
|
133 |
107 |
$126.42 |
| 90734 |
|
79 |
63 |
$120.12 |
| 90707 |
|
42 |
41 |
$120.11 |
| 90716 |
|
37 |
36 |
$100.11 |
| 90715 |
|
69 |
53 |
$72.08 |
| 90696 |
|
13 |
13 |
$52.00 |
| 90670 |
|
12 |
12 |
$48.00 |
| 1157F |
|
30 |
29 |
$23.60 |
| 90671 |
|
39 |
27 |
$0.16 |
| 90621 |
|
42 |
29 |
$0.10 |
| 91300 |
|
3,541 |
2,605 |
$0.00 |
| 1160F |
|
76 |
73 |
$0.00 |
| 1159F |
|
75 |
72 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
25 |
$0.00 |
| 91312 |
|
16 |
16 |
$0.00 |
| 0124A |
|
16 |
16 |
$0.00 |
| 1170F |
|
31 |
30 |
$0.00 |
| 91305 |
|
14 |
14 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |