Medicaid Provider Spending

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

CENTRO DE VACUNACION Y SERVIVIOS INTEGRADOS DE SALUD,INC.

NPI: 1255879474 · ANASCO, PR 00610 · Primary Care Clinic/Center · NPI assigned 02/08/2017

$31K
Total Medicaid Paid
4,457
Total Claims
4,146
Beneficiaries
25
Codes Billed
2019-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialMATIAS, ADOLFO (ADMINISTRATOR)
NPI Enumeration Date02/08/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 792 $3K
2020 2,044 $9K
2021 1,174 $14K
2022 447 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,422 1,327 $10K
90472 Immunization administration, each additional vaccine (list separately) 726 682 $9K
0071A 141 131 $5K
0072A 116 105 $4K
0003A 35 35 $1K
91307 257 185 $800.00
0013A 20 20 $800.00
90460 Immunization administration through 18 years of age via any route, first or only component 74 47 $248.13
90688 324 309 $175.12
90474 29 29 $116.00
90670 280 272 $100.02
90656 31 17 $76.03
90707 107 105 $76.00
90716 96 96 $64.00
90648 176 176 $64.00
90700 92 92 $56.00
90651 148 141 $48.00
90723 82 81 $20.02
90633 65 65 $20.00
90713 31 31 $20.00
90681 39 39 $20.00
90734 62 61 $20.00
91301 40 36 $0.00
90715 14 14 $0.00
91300 50 50 $0.00