PUERTO RICO INMUNIZATION SERVICES
NPI: 1396111456
· SAN GERMAN, PR 00683
· Medical Specialty Clinic/Center
· NPI assigned 08/12/2015
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | SUAREZ, MIGUEL (PRESIDENT) |
| NPI Enumeration Date | 08/12/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
588 |
$7K |
| 2019 |
502 |
$4K |
| 2020 |
24 |
$217.92 |
| 2021 |
2,783 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
534 |
507 |
$21K |
| 0031A |
|
595 |
589 |
$20K |
| 0011A |
|
641 |
550 |
$18K |
| 0002A |
|
415 |
387 |
$16K |
| 0001A |
|
441 |
399 |
$15K |
| 90686 |
|
569 |
511 |
$9K |
| 90670 |
|
29 |
29 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
562 |
504 |
$477.00 |
| G0009 |
Administration of pneumococcal vaccine |
38 |
38 |
$349.80 |
| 91303 |
|
73 |
70 |
$0.42 |