Clinic
Salud Integral En LA Montana, INC
Salud Integral En LA Montana, INC was paid $476K by Medicaid between Jan 2018 and Nov 2024, across 101 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoSALUD INTEGRAL EN LA MONTANA, INC
COROZAL, PR 00783
COROZAL, PR 00783
33aNPI1184647851assigned 07/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$476K
24GClaims334,169
24DCodes billed101
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Puerto Rico
Rank by total paid#11 of 22
Median peer was paid$463K
This provider vs. median1.0×
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 | 35,363 | $62K | |
| 2019 | 31,690 | $33K | |
| 2020 | 23,867 | $27K | |
| 2021 | 28,799 | $44K | |
| 2022 | 52,205 | $64K | |
| 2023 | 64,366 | $93K | |
| 2024incomplete | 97,879 | $152K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 33,210 | 28,713 | $181K |
| 92002 | 17% | 1,224 | 1,190 | $79K | |
| 97802 | 7.3% | 2,264 | 1,920 | $35K | |
| 97803 | 5.1% | 1,822 | 1,610 | $24K | |
| 92015 | Determination of refractive state | 5.0% | 1,251 | 1,215 | $24K |
| 99442 | 3.7% | 11,547 | 10,569 | $18K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.2% | 1,617 | 941 | $15K |
| 76641 | 2.4% | 612 | 555 | $12K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.4% | 6,650 | 6,084 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 1,000 | 509 | $10K |
| 99441 | 1.9% | 13,133 | 12,136 | $9K | |
| 76536 | 1.8% | 427 | 372 | $9K |
89 more codes
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.6% | 356 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 154 | $6K |
| 99443 | 1.2% | 3,564 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 27,671 | $5K |
| 92250 | <1% | 181 | $5K | |
| 76830 | Ultrasound, transvaginal | <1% | 180 | $5K |
| 77066 | Tomosynthesis, mammo | <1% | 1,035 | $4K |
| V2020 | Frames, purchases | <1% | 96 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 848 | $2K |
| 96160 | <1% | 1,564 | $851.88 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $819.38 |
| 76770 | <1% | 104 | $740.16 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 273 | $601.37 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,497 | $519.30 |
| 93000 | <1% | 1,664 | $467.75 | |
| 90688 | <1% | 167 | $412.94 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 205 | $399.36 |
| 90686 | <1% | 167 | $314.63 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 109 | $209.90 |
| 90670 | <1% | 188 | $205.30 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $202.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 421 | $105.84 |
| 96127 | <1% | 4,402 | $104.88 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 1,162 | $103.64 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 116 | $91.35 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 478 | $53.98 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 391 | $30.00 |
| 90647 | <1% | 185 | $26.03 | |
| 90716 | <1% | 215 | $12.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 18 | $8.00 |
| 90707 | <1% | 99 | $8.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 340 | $0.06 |
| 1160F | <1% | 41,368 | $0.01 | |
| 1125F | 0% | 11,263 | $0.00 | |
| 1036F | 0% | 16,741 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 4,359 | $0.00 |
| 3075F | 0% | 4,663 | $0.00 | |
| 1126F | 0% | 20,418 | $0.00 | |
| 3079F | 0% | 4,624 | $0.00 | |
| 3074F | 0% | 18,243 | $0.00 | |
| 3008F | 0% | 5,971 | $0.00 | |
| 3044F | 0% | 730 | $0.00 | |
| 4010F | 0% | 156 | $0.00 | |
| 99050 | 0% | 3,588 | $0.00 | |
| 1170F | 0% | 430 | $0.00 | |
| 90651 | 0% | 179 | $0.00 | |
| 1000F | 0% | 2,559 | $0.00 | |
| 3048F | 0% | 478 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 71 | $0.00 |
| 3014F | 0% | 267 | $0.00 | |
| 4000F | 0% | 246 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 106 | $0.00 |
| 90620 | 0% | 52 | $0.00 | |
| 2000F | 0% | 1,055 | $0.00 | |
| 73560 | 0% | 106 | $0.00 | |
| 3017F | 0% | 297 | $0.00 | |
| 1111F | 0% | 69 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 31 | $0.00 |
| 1034F | 0% | 42 | $0.00 | |
| 90723 | 0% | 59 | $0.00 | |
| 3011F | 0% | 33 | $0.00 | |
| 3080F | 0% | 81 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 29 | $0.00 |
| 3049F | 0% | 14 | $0.00 | |
| 1158F | 0% | 326 | $0.00 | |
| 1159F | 0% | 41,571 | $0.00 | |
| 3078F | 0% | 22,596 | $0.00 | |
| 3077F | 0% | 4,024 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 56 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 643 | $0.00 |
| 3725F | 0% | 1,720 | $0.00 | |
| 99408 | 0% | 459 | $0.00 | |
| 72100 | 0% | 174 | $0.00 | |
| 90734 | 0% | 182 | $0.00 | |
| 2028F | 0% | 384 | $0.00 | |
| 99348 | 0% | 100 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 267 | $0.00 |
| 3040F | 0% | 33 | $0.00 | |
| 1100F | 0% | 322 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 30 | $0.00 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 14 | $0.00 |
| 99173 | 0% | 12 | $0.00 | |
| 90681 | 0% | 46 | $0.00 | |
| 90633 | 0% | 74 | $0.00 | |
| 74018 | 0% | 14 | $0.00 | |
| 90715 | 0% | 70 | $0.00 | |
| 4040F | 0% | 21 | $0.00 | |
| 90648 | 0% | 15 | $0.00 |
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 officialAMADOR, GLORIA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Salud Integral En LA Montana, INC | Naranjito, PR | $1.29M |
| Salud Integral En LA Montana, INC. | Barranquitas, PR | $1.01M |
| Salud Integral En LA Montana, INC | Orocovis, PR | $939K |
| Salud Integral En LA Montana, INC | Bayamon, PR | $258K |
| Salud Integral En LA Montana, INC | Barranquitas, PR | $244K |
| Salud Integral En LA Montana, INC | Naranjito, PR | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.