Clinic
Salud Integral En LA Montana, INC
Salud Integral En LA Montana, INC was paid $265K by Medicaid between Jan 2018 and Nov 2024, across 97 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoSALUD INTEGRAL EN LA MONTANA, INC
COMERIO, PR 00782
COMERIO, PR 00782
33aNPI1275556946assigned 07/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$265K
24GClaims301,751
24DCodes billed97
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Puerto Rico
Rank by total paid#16 of 22
Median peer was paid$463K
This provider vs. median0.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official AMADOR FERNANDEZ, GLORIA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 87,322 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 37,963 | 32,630 | $79K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 1,837 | 1,531 | $37K |
| 99441 | 11% | 9,141 | 8,100 | $30K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 11% | 3,182 | 2,076 | $29K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.8% | 1,759 | 1,041 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 25,663 | 21,470 | $17K |
| 97802 | 2.7% | 1,588 | 1,440 | $7K | |
| 99442 | 2.3% | 3,065 | 2,668 | $6K | |
| 96160 | 1.8% | 3,322 | 2,834 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 213 | 175 | $5K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.7% | 263 | 228 | $5K |
| 71046 | Radiologic examination, chest; 2 views | 1.4% | 989 | 872 | $4K |
85 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 78 | $3K |
| 97803 | <1% | 997 | $3K | |
| 93000 | <1% | 3,208 | $2K | |
| 76536 | <1% | 134 | $2K | |
| 90686 | <1% | 756 | $2K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 1,060 | $2K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 134 | $1K |
| 90734 | <1% | 554 | $1K | |
| 99050 | <1% | 3,752 | $1K | |
| 90732 | <1% | 13 | $1K | |
| 90651 | <1% | 534 | $882.11 | |
| 76641 | <1% | 38 | $877.00 | |
| 96127 | <1% | 4,078 | $875.26 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,634 | $871.18 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 579 | $524.80 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,011 | $450.00 |
| 90621 | <1% | 164 | $426.86 | |
| 90715 | <1% | 158 | $205.43 | |
| 90670 | <1% | 347 | $201.30 | |
| 90716 | <1% | 242 | $176.72 | |
| 90707 | <1% | 329 | $138.20 | |
| 90633 | <1% | 270 | $74.14 | |
| 90696 | <1% | 133 | $58.62 | |
| 73030 | <1% | 16 | $44.84 | |
| 72100 | <1% | 12 | $37.48 | |
| 90620 | <1% | 21 | $4.00 | |
| 99173 | <1% | 266 | $0.05 | |
| 3079F | 0% | 5,851 | $0.00 | |
| 1125F | 0% | 7,027 | $0.00 | |
| 3008F | 0% | 9,643 | $0.00 | |
| 96150 | 0% | 125 | $0.00 | |
| 1126F | 0% | 33,046 | $0.00 | |
| 1036F | 0% | 4,063 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 4,170 | $0.00 |
| 4000F | 0% | 1,929 | $0.00 | |
| 3074F | 0% | 14,113 | $0.00 | |
| 3075F | 0% | 5,352 | $0.00 | |
| 1000F | 0% | 3,654 | $0.00 | |
| 1136F | 0% | 61 | $0.00 | |
| 1170F | 0% | 338 | $0.00 | |
| 3044F | 0% | 394 | $0.00 | |
| 2000F | 0% | 1,202 | $0.00 | |
| 3080F | 0% | 135 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 427 | $0.00 |
| 1034F | 0% | 211 | $0.00 | |
| 90723 | 0% | 147 | $0.00 | |
| 1111F | 0% | 282 | $0.00 | |
| 1005F | 0% | 111 | $0.00 | |
| 90680 | 0% | 95 | $0.00 | |
| 3048F | 0% | 263 | $0.00 | |
| 96156 | 0% | 27 | $0.00 | |
| 3014F | 0% | 23 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 144 | $0.00 |
| 99368 | 0% | 89 | $0.00 | |
| 4010F | 0% | 96 | $0.00 | |
| 3049F | 0% | 25 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 37 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 84 | $0.00 |
| 99443 | 0% | 14 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 16 | $0.00 |
| 1159F | 0% | 37,822 | $0.00 | |
| 1160F | 0% | 38,468 | $0.00 | |
| 3725F | 0% | 3,607 | $0.00 | |
| 3077F | 0% | 1,762 | $0.00 | |
| 3078F | 0% | 14,908 | $0.00 | |
| 99408 | 0% | 188 | $0.00 | |
| 90700 | 0% | 50 | $0.00 | |
| 99401 | 0% | 262 | $0.00 | |
| 4004F | 0% | 251 | $0.00 | |
| 2028F | 0% | 584 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 104 | $0.00 |
| 1100F | 0% | 192 | $0.00 | |
| 90648 | 0% | 336 | $0.00 | |
| 4013F | 0% | 90 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 87 | $0.00 |
| 3046F | 0% | 15 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 16 | $0.00 |
| 1158F | 0% | 117 | $0.00 | |
| 3051F | 0% | 19 | $0.00 | |
| 99348 | 0% | 47 | $0.00 | |
| 96159 | 0% | 52 | $0.00 | |
| 3050F | 0% | 12 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 99409 | 0% | 31 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 22 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAMADOR FERNANDEZ, GLORIA (EXECUTIVE DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.