NPI: 1376612788 · PONCE, PR 00717 · 261QM1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,063 | $28K |
| 2019 | 3,642 | $27K |
| 2020 | 3,479 | $53K |
| 2021 | 7,553 | $106K |
| 2022 | 6,051 | $117K |
| 2023 | 3,896 | $124K |
| 2024 | 2,112 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99443 | 2,261 | 1,903 | $119K | |
| 99441 | 4,732 | 3,779 | $107K | |
| 99214 | 3,115 | 2,644 | $94K | |
| 99442 | 1,214 | 921 | $46K | |
| 99213 | 1,048 | 941 | $29K | |
| 90471 | 3,094 | 2,440 | $20K | |
| 90837 | 423 | 335 | $15K | |
| 36415 | 4,649 | 3,825 | $11K | |
| 0011A | 410 | 363 | $9K | |
| 0012A | 286 | 271 | $9K | |
| 97803 | 829 | 706 | $8K | |
| 97802 | 597 | 564 | $8K | |
| 99211 | 855 | 742 | $6K | |
| 90791 | 129 | 122 | $5K | |
| 96372 | 548 | 405 | $3K | |
| 0064A | 80 | 80 | $3K | |
| 99215 | Prolong outpt/office vis | 26 | 25 | $3K |
| 0031A | 53 | 52 | $2K | |
| 86580 | 897 | 702 | $2K | |
| 99212 | 130 | 126 | $2K | |
| 96152 | 156 | 134 | $1K | |
| 90832 | 40 | 29 | $1K | |
| 96158 | 109 | 85 | $1K | |
| 0001A | 21 | 21 | $800.00 | |
| 0003A | 16 | 16 | $640.00 | |
| 0002A | 15 | 15 | $560.00 | |
| 90472 | 68 | 67 | $305.81 | |
| 90686 | 937 | 812 | $264.40 | |
| 90853 | 17 | 14 | $173.36 | |
| 96127 | 51 | 34 | $153.48 | |
| 90834 | 14 | 12 | $119.08 | |
| 90740 | 44 | 41 | $98.37 | |
| 91303 | 53 | 52 | $0.14 | |
| 91306 | 80 | 80 | $0.10 | |
| T1017 | Targeted case management | 713 | 675 | $0.06 |
| 91301 | 734 | 668 | $0.01 | |
| T2023 | Targeted case mgmt per month | 788 | 718 | $0.00 |
| 90611 | 243 | 228 | $0.00 | |
| 98960 | 17 | 13 | $0.00 | |
| 90715 | 12 | 12 | $0.00 | |
| 91300 | 102 | 87 | $0.00 | |
| G2012 | Brief check in by md/qhp | 13 | 13 | $0.00 |
| T1016 | Case management | 123 | 111 | $0.00 |
| 2010F | 14 | 13 | $0.00 | |
| 90657 | 28 | 17 | $0.00 | |
| 90732 | 12 | 12 | $0.00 |