NPI: 1194299768 · TOA ALTA, PR 00953 · Clinic/Center · NPI assigned 01/17/2019
Authorized official AMADOR FERNANDEZ, GLORIA controls 20+ related entities in our dataset. Read more
| Authorized Official | AMADOR FERNANDEZ, GLORIA (EXECUTIVE DIRECTOR) |
| Parent Organization | SALUD INTEGRAL EN LA MONTANA, INC |
| NPI Enumeration Date | 01/17/2019 |
Other providers sharing the same authorized official: AMADOR FERNANDEZ, GLORIA
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 420 | $3K |
| 2021 | 1,315 | $11K |
| 2022 | 2,615 | $19K |
| 2023 | 2,841 | $53K |
| 2024 | 2,234 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3,462 | 2,996 | $35K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2,090 | 1,817 | $32K |
| 90651 | 754 | 647 | $17K | |
| 90670 | 294 | 229 | $3K | |
| 90716 | 208 | 200 | $2K | |
| 90734 | 280 | 258 | $2K | |
| 90656 | 495 | 386 | $2K | |
| 90686 | 440 | 399 | $2K | |
| 0071A | 38 | 33 | $1K | |
| 90707 | 201 | 182 | $1K | |
| 90677 | 53 | 40 | $1K | |
| 0072A | 21 | 20 | $840.00 | |
| 90674 | 27 | 27 | $730.50 | |
| 90633 | 275 | 233 | $556.31 | |
| 0002A | 13 | 13 | $520.00 | |
| 90715 | 144 | 124 | $364.32 | |
| 0001A | 30 | 29 | $287.98 | |
| 90621 | 43 | 42 | $172.33 | |
| 90685 | 247 | 213 | $171.15 | |
| 90620 | 62 | 59 | $169.44 | |
| 90696 | 26 | 26 | $106.62 | |
| 90619 | 63 | 56 | $0.00 | |
| 91307 | 111 | 75 | $0.00 | |
| 90647 | 16 | 15 | $0.00 | |
| 91300 | 32 | 32 | $0.00 |