Enid Farmacia Santa Ana De Patillas INC

Enid Farmacia Santa Ana De Patillas INC was paid $4K by Medicaid between Sep 2018 and Feb 2020, across 4 billing codes. Its largest line is 90686, — 75% of everything it billed.

33Billing provider infoENID FARMACIA SANTA ANA DE PATILLAS INC
PATILLAS, PR 00723

33aNPI1295833234assigned 09/21/2006

33bProvider typePharmacy

28Total paid$4K

24GClaims355

24DCodes billed4

24AFirst – last monthSep 2018 – Feb 2020

Compared with peers

Next to other Pharmacy providers in Puerto Rico

Rank by total paid#5 of 10

Median peer was paid$4K

This provider vs. median1.1×

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.

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	136	$2K
2019	153	$1K
2020	66	$608.96

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90686		75%	175	165	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	21%	57	55	$842.70
90472	Immunization administration, each additional vaccine (list separately)	4.3%	13	13	$174.90
G0008	Administration of influenza virus vaccine	0%	110	110	$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 officialRIEFKOHL, ENID (OWNER)