NPI: 1336123322 · VILLALBA, PR 00766 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,539 | $45K |
| 2019 | 1,159 | $29K |
| 2020 | 161 | $9K |
| 2021 | 4,524 | $108K |
| 2024 | 207 | $211.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 1,768 | 1,374 | $46K | |
| 90670 | 221 | 183 | $42K | |
| 0001A | 1,768 | 1,368 | $34K | |
| 90732 | 247 | 186 | $25K | |
| 90686 | 948 | 709 | $16K | |
| 0012A | 293 | 211 | $9K | |
| 0003A | 192 | 191 | $7K | |
| 0011A | 289 | 207 | $5K | |
| 0013A | 50 | 49 | $2K | |
| 0071A | 41 | 41 | $2K | |
| 0072A | 37 | 37 | $1K | |
| 0004A | 48 | 33 | $960.00 | |
| 0064A | 38 | 19 | $480.10 | |
| 90471 | 96 | 74 | $166.12 | |
| 90472 | 39 | 31 | $45.00 | |
| G0008 | Admin influenza virus vac | 894 | 662 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 606 | 485 | $0.00 |
| 90734 | 15 | 13 | $0.00 |