SALUD INTEGRAL EN LA MONTANA, INC
NPI: 1275556946
· COMERIO, PR 00782
· 261QF0400X
$265K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38,169 |
$62K |
| 2019 |
36,698 |
$29K |
| 2020 |
24,387 |
$24K |
| 2021 |
22,894 |
$42K |
| 2022 |
24,644 |
$34K |
| 2023 |
67,637 |
$18K |
| 2024 |
87,322 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
37,963 |
32,630 |
$79K |
| 99214 |
|
1,837 |
1,531 |
$37K |
| 99441 |
|
9,141 |
8,100 |
$30K |
| 90471 |
|
3,182 |
2,076 |
$29K |
| 90472 |
|
1,759 |
1,041 |
$18K |
| 99212 |
|
25,663 |
21,470 |
$17K |
| 97802 |
|
1,588 |
1,440 |
$7K |
| 99442 |
|
3,065 |
2,668 |
$6K |
| 96160 |
|
3,322 |
2,834 |
$5K |
| 99203 |
|
213 |
175 |
$5K |
| 76700 |
|
263 |
228 |
$5K |
| 71046 |
|
989 |
872 |
$4K |
| 99204 |
|
78 |
74 |
$3K |
| 97803 |
|
997 |
870 |
$3K |
| 93000 |
|
3,208 |
3,023 |
$2K |
| 76536 |
|
134 |
112 |
$2K |
| 90686 |
|
756 |
644 |
$2K |
| G0101 |
Ca screen;pelvic/breast exam |
1,060 |
986 |
$2K |
| 76856 |
|
134 |
109 |
$1K |
| 90734 |
|
554 |
322 |
$1K |
| 99050 |
|
3,752 |
3,276 |
$1K |
| 90732 |
|
13 |
13 |
$1K |
| 90651 |
|
534 |
316 |
$882.11 |
| 76641 |
|
38 |
38 |
$877.00 |
| 96127 |
|
4,078 |
3,450 |
$875.26 |
| 99393 |
|
1,634 |
1,579 |
$871.18 |
| 99392 |
|
579 |
554 |
$524.80 |
| 99394 |
|
1,011 |
988 |
$450.00 |
| 90621 |
|
164 |
104 |
$426.86 |
| 90715 |
|
158 |
105 |
$205.43 |
| 90670 |
|
347 |
208 |
$201.30 |
| 90716 |
|
242 |
134 |
$176.72 |
| 90707 |
|
329 |
178 |
$138.20 |
| 90633 |
|
270 |
144 |
$74.14 |
| 90696 |
|
133 |
73 |
$58.62 |
| 73030 |
|
16 |
13 |
$44.84 |
| 72100 |
|
12 |
12 |
$37.48 |
| 90620 |
|
21 |
21 |
$4.00 |
| 99173 |
|
266 |
259 |
$0.05 |
| 3079F |
|
5,851 |
4,958 |
$0.00 |
| 1125F |
|
7,027 |
6,414 |
$0.00 |
| 3008F |
|
9,643 |
7,138 |
$0.00 |
| 96150 |
|
125 |
124 |
$0.00 |
| 1126F |
|
33,046 |
28,721 |
$0.00 |
| 1036F |
|
4,063 |
3,651 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
4,170 |
3,624 |
$0.00 |
| 4000F |
|
1,929 |
1,753 |
$0.00 |
| 3074F |
|
14,113 |
11,922 |
$0.00 |
| 3075F |
|
5,352 |
4,544 |
$0.00 |
| 1000F |
|
3,654 |
3,331 |
$0.00 |
| 1136F |
|
61 |
61 |
$0.00 |
| 1170F |
|
338 |
268 |
$0.00 |
| 3044F |
|
394 |
301 |
$0.00 |
| 2000F |
|
1,202 |
968 |
$0.00 |
| 3080F |
|
135 |
130 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
427 |
324 |
$0.00 |
| 1034F |
|
211 |
192 |
$0.00 |
| 90723 |
|
147 |
91 |
$0.00 |
| 1111F |
|
282 |
266 |
$0.00 |
| 1005F |
|
111 |
104 |
$0.00 |
| 90680 |
|
95 |
60 |
$0.00 |
| 3048F |
|
263 |
218 |
$0.00 |
| 96156 |
|
27 |
27 |
$0.00 |
| 3014F |
|
23 |
18 |
$0.00 |
| 90834 |
|
144 |
98 |
$0.00 |
| 99368 |
|
89 |
70 |
$0.00 |
| 4010F |
|
96 |
88 |
$0.00 |
| 3049F |
|
25 |
25 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
37 |
37 |
$0.00 |
| G0008 |
Admin influenza virus vac |
84 |
84 |
$0.00 |
| 99443 |
|
14 |
13 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
16 |
16 |
$0.00 |
| 1159F |
|
37,822 |
32,964 |
$0.00 |
| 1160F |
|
38,468 |
33,529 |
$0.00 |
| 3725F |
|
3,607 |
3,095 |
$0.00 |
| 3077F |
|
1,762 |
1,522 |
$0.00 |
| 3078F |
|
14,908 |
12,603 |
$0.00 |
| 99408 |
|
188 |
178 |
$0.00 |
| 90700 |
|
50 |
28 |
$0.00 |
| 99401 |
|
262 |
190 |
$0.00 |
| 4004F |
|
251 |
228 |
$0.00 |
| 2028F |
|
584 |
457 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
104 |
85 |
$0.00 |
| 1100F |
|
192 |
178 |
$0.00 |
| 90648 |
|
336 |
195 |
$0.00 |
| 4013F |
|
90 |
82 |
$0.00 |
| G8598 |
Asa/antiplat ther used |
87 |
85 |
$0.00 |
| 3046F |
|
15 |
12 |
$0.00 |
| G8482 |
Flu immunize order/admin |
16 |
16 |
$0.00 |
| 1158F |
|
117 |
110 |
$0.00 |
| 3051F |
|
19 |
12 |
$0.00 |
| 99348 |
|
47 |
33 |
$0.00 |
| 96159 |
|
52 |
49 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 99409 |
|
31 |
31 |
$0.00 |
| 93005 |
|
22 |
22 |
$0.00 |