Centro De Vacunacion Sab
Centro De Vacunacion Sab was paid $13K by Medicaid between Apr 2018 and Sep 2020, across 13 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 56% of everything it billed.
33Billing provider infoCENTRO DE VACUNACION SAB
AGUAS BUENAS, PR 00703
AGUAS BUENAS, PR 00703
33aNPI1225560212assigned 03/30/2017
33bProvider typePrevention Professional
28Total paid$13K
24GClaims2,580
24DCodes billed13
24AFirst – last monthApr 2018 – Sep 2020
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 | 1,155 | $5K | |
| 2019 | 1,154 | $6K | |
| 2020 | 271 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 56% | 1,185 | 1,057 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 44% | 511 | 462 | $6K |
| 90658 | <1% | 399 | 381 | $27.00 | |
| 90715 | 0% | 27 | 25 | $0.00 | |
| 90633 | 0% | 91 | 77 | $0.00 | |
| 90734 | 0% | 69 | 67 | $0.00 | |
| 90670 | 0% | 62 | 55 | $0.00 | |
| 90707 | 0% | 12 | 12 | $0.00 | |
| 90651 | 0% | 103 | 101 | $0.00 | |
| 90620 | 0% | 52 | 52 | $0.00 | |
| 90716 | 0% | 13 | 13 | $0.00 | |
| 90698 | 0% | 30 | 25 | $0.00 |
1 more codes
| 90744 | 0% | 26 | $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 officialGONZALEZ, AFREDO (VICE PRESIDENT)