NPI: 1194793935 · CEIBA, PR 00735 · General Practice Physician · NPI assigned 03/09/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 7,911 | $180K |
| 2022 | 2,625 | $48K |
| 2023 | 947 | $4K |
| 2024 | 361 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 2,209 | 992 | $58K | |
| 0011A | 2,231 | 1,000 | $55K | |
| 0002A | 914 | 530 | $23K | |
| 0001A | 873 | 503 | $22K | |
| 0064A | 549 | 547 | $18K | |
| 0054A | 483 | 482 | $18K | |
| 0071A | 291 | 288 | $11K | |
| 0072A | 239 | 236 | $9K | |
| 0004A | 204 | 201 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 793 | 611 | $3K |
| 0031A | 116 | 81 | $2K | |
| 0134A | 61 | 60 | $2K | |
| 0124A | 54 | 53 | $2K | |
| 90686 | 146 | 108 | $1K | |
| 0003A | 23 | 23 | $920.00 | |
| 90670 | 40 | 28 | $902.96 | |
| 90715 | 41 | 23 | $66.24 | |
| 91313 | 61 | 60 | $0.05 | |
| 91300 | 361 | 336 | $0.00 | |
| 91312 | 54 | 53 | $0.00 | |
| 90649 | 130 | 87 | $0.00 | |
| 90734 | 89 | 54 | $0.00 | |
| 90648 | 33 | 24 | $0.00 | |
| 91305 | 515 | 512 | $0.00 | |
| 91301 | 367 | 351 | $0.00 | |
| 91307 | 523 | 489 | $0.00 | |
| 91306 | 444 | 443 | $0.00 |