NPI: 1255321139 · SAN GERMAN, PR 00683 · 2080N0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 267 | $11K |
| 2019 | 14 | $675.00 |
| 2021 | 4,582 | $144K |
| 2023 | 187 | $0.00 |
| 2024 | 4,358 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 944 | 922 | $31K | |
| 0002A | 913 | 891 | $30K | |
| 0012A | 766 | 737 | $28K | |
| 0031A | 770 | 770 | $27K | |
| 0011A | 889 | 812 | $26K | |
| 90670 | 44 | 41 | $8K | |
| G0008 | Admin influenza virus vac | 87 | 73 | $2K |
| 90686 | 87 | 73 | $2K | |
| 0003A | 42 | 36 | $1K | |
| 99462 | 14 | 13 | $675.00 | |
| G0009 | Admin pneumococcal vaccine | 49 | 45 | $504.70 |
| 91303 | 242 | 242 | $0.02 | |
| 99391 | 445 | 393 | $0.00 | |
| 96160 | 386 | 363 | $0.00 | |
| 99442 | 32 | 32 | $0.00 | |
| 99392 | 585 | 518 | $0.00 | |
| 99203 | 77 | 50 | $0.00 | |
| 99393 | 311 | 281 | $0.00 | |
| 99212 | 1,466 | 1,269 | $0.00 | |
| 99394 | 34 | 29 | $0.00 | |
| 99401 | 52 | 49 | $0.00 | |
| 99409 | 12 | 12 | $0.00 | |
| 99408 | 12 | 12 | $0.00 | |
| 91300 | 16 | 16 | $0.00 | |
| 96127 | 655 | 619 | $0.00 | |
| 99213 | 336 | 253 | $0.00 | |
| 99381 | 21 | 13 | $0.00 | |
| 96161 | 84 | 84 | $0.00 | |
| 96110 | 25 | 25 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 12 | 12 | $0.00 |