Municipio De Sabana Grande

Municipio De Sabana Grande was paid $38K by Medicaid between Jan 2018 and Jun 2020, across 22 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 53% of everything it billed.

33Billing provider infoMUNICIPIO DE SABANA GRANDE
SABANA GRANDE, PR 00637

33aNPI1194945949assigned 04/26/2007

33bProvider typeClinic/Center

28Total paid$38K

24GClaims14,644

24DCodes billed22

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#59 of 117

Median peer was paid$38K

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	7,552	$18K
2019	5,514	$15K
2020	1,578	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90472	Immunization administration, each additional vaccine (list separately)	53%	2,780	2,493	$20K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	43%	4,104	3,862	$16K
90651		<1%	966	921	$246.36
90474		<1%	60	60	$232.00
90716		<1%	687	646	$176.06
90734		<1%	600	562	$162.21
90715		<1%	378	365	$142.85
90707		<1%	636	601	$131.67
90633		<1%	625	581	$67.31
90686		<1%	477	466	$50.29
90670		<1%	1,029	978	$48.29
90688		<1%	108	108	$37.58

10 more codes

90648	<1%	638	$36.16
90620	<1%	212	$36.02
90621	<1%	190	$30.09
90698	<1%	262	$12.04
90723	<1%	278	$12.04
90700	<1%	186	$6.05
90696	<1%	170	$6.01
90744	<1%	42	$0.04
90680	<1%	88	$0.03
90681	<1%	128	$0.02

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 officialMENDEZ, ULISES (COORDINADOR DE SERVICIOS DE SALUD)

Same official

Other billing entities under MENDEZ, ULISES

Full network →

Provider	Location	Paid
Municipio De Sabana Grande	Sabana Grande, PR	$43K
Municipio De Sabana Grande	Sabana Grande, PR	$25K
Municipio De Sabana Grande	Sabana Grande, PR	$189.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.