NPI: 1255601233 · SAN JUAN, PR 00920 · Mammography Clinic/Center · NPI assigned 01/06/2012
| Authorized Official | VEGA DE JESUS, MARITZA (EXECUTIVE SUB DIRECTOR) |
| Parent Organization | CDT DR GUALBERTO RABELL |
| NPI Enumeration Date | 01/06/2012 |
Other providers sharing the same authorized official: VEGA DE JESUS, MARITZA
| Provider | City | State | Total Paid |
|---|---|---|---|
| MUNICIPALITY OF SAN JUAN | SAN JUAN | PR | $4.53M |
| GRUPO DENTAL DR.OLIVERAS GUERRAS | SAN JUAN | PR | $198K |
| GRUPO DENTAL CDT DR. LOPEZ ANTONGIORGI | SAN JUAN | PR | $38K |
| CENTRO RADIOLOGICO DR. ENRIQUE KOPPISH | SAN JUAN | PR | $33K |
| GRUPO DENTAL DR.GUALBERTO RABELL | SAN JUAN | PR | $28K |
| GRUPO RADIOLOGICO DR JAVIER JAVIER ANTON | SAN JUAN | PR | $13K |
| GRUPO RADIOLOGICO DR. ARNALDO J GARCIA | SAN JUAN | PR | $9K |
| GRUPO RADIOLOGICO DR LOPEZ ANTOGIORGI | SAN JUAN | PR | $8K |
| GRUPO RADIOLOGICO DR OLIVERAS GUERRAS | SAN JUAN | PR | $7K |
| GRUPO DENTAL DR. JOSE S BELAVAL | SAN JUAN | PR | $287.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,474 | $40K |
| 2019 | 2,781 | $48K |
| 2020 | 1,025 | $15K |
| 2021 | 2,819 | $73K |
| 2022 | 1,968 | $57K |
| 2023 | 2,543 | $86K |
| 2024 | 1,240 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 4,038 | 1,977 | $116K |
| 76641 | 2,619 | 1,274 | $90K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1,596 | 769 | $65K |
| 71046 | Radiologic examination, chest; 2 views | 3,569 | 2,068 | $33K |
| 72100 | 956 | 497 | $11K | |
| 76770 | 264 | 129 | $8K | |
| 76536 | 206 | 100 | $7K | |
| 73560 | 487 | 270 | $7K | |
| 76830 | Ultrasound, transvaginal | 136 | 64 | $4K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 126 | 62 | $4K |
| 72040 | 234 | 127 | $2K | |
| 74018 | 312 | 180 | $2K | |
| 71045 | Radiologic examination, chest; single view | 147 | 75 | $1K |
| 73030 | 63 | 37 | $504.21 | |
| 73120 | 42 | 24 | $381.21 | |
| 73630 | 23 | 13 | $224.38 | |
| 73620 | 20 | 13 | $150.56 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 12 | 12 | $122.40 |