Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRO DE VACUNACION SAB

NPI: 1225560212 · AGUAS BUENAS, PR 00703 · Prevention Professional · NPI assigned 03/30/2017

$13K
Total Medicaid Paid
2,580
Total Claims
2,340
Beneficiaries
13
Codes Billed
2018-04
First Month
2020-09
Last Month

Provider Details

Authorized OfficialGONZALEZ, AFREDO (VICE PRESIDENT)
NPI Enumeration Date03/30/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,155 $5K
2019 1,154 $6K
2020 271 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,185 1,057 $7K
90472 Immunization administration, each additional vaccine (list separately) 511 462 $6K
90658 399 381 $27.00
90715 27 25 $0.00
90633 91 77 $0.00
90734 69 67 $0.00
90670 62 55 $0.00
90707 12 12 $0.00
90651 103 101 $0.00
90620 52 52 $0.00
90716 13 13 $0.00
90698 30 25 $0.00
90744 26 13 $0.00