NPI: 1407128226 · PONCE, PR 00716 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,940 | $76K |
| 2019 | 3,231 | $9K |
| 2020 | 111 | $507.50 |
| 2021 | 5,274 | $60K |
| 2022 | 2,682 | $42K |
| 2023 | 8,756 | $80K |
| 2024 | 1,443 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90461 | 3,538 | 3,292 | $55K | |
| 90471 | 4,254 | 3,946 | $45K | |
| 90472 | 1,971 | 1,826 | $40K | |
| 0004A | 922 | 922 | $35K | |
| 90460 | 4,935 | 4,773 | $32K | |
| 0064A | 319 | 318 | $12K | |
| 0002A | 429 | 394 | $9K | |
| 90658 | 2,790 | 2,623 | $9K | |
| 0001A | 285 | 253 | $5K | |
| 0012A | 167 | 158 | $5K | |
| 0071A | 431 | 424 | $5K | |
| 90671 | 150 | 150 | $4K | |
| 0011A | 99 | 89 | $3K | |
| 90715 | 604 | 590 | $3K | |
| 90649 | 1,851 | 1,765 | $2K | |
| 90713 | 2,032 | 1,927 | $2K | |
| 90700 | 2,828 | 2,689 | $2K | |
| 0072A | 406 | 404 | $2K | |
| 0124A | 36 | 36 | $1K | |
| 0054A | 29 | 29 | $1K | |
| 0134A | 28 | 28 | $960.00 | |
| 90716 | 757 | 725 | $914.15 | |
| 90633 | 1,633 | 1,565 | $788.14 | |
| 90648 | 1,852 | 1,767 | $774.00 | |
| 90734 | 1,148 | 1,109 | $741.28 | |
| 90670 | 1,537 | 1,470 | $732.00 | |
| 90677 | 59 | 43 | $643.88 | |
| 0081A | 14 | 14 | $560.00 | |
| 0094A | 13 | 13 | $520.00 | |
| 0074A | 13 | 13 | $480.00 | |
| 90707 | 657 | 635 | $294.81 | |
| 90621 | 366 | 355 | $282.00 | |
| 90655 | 639 | 630 | $222.00 | |
| 90620 | 124 | 117 | $169.44 | |
| 90746 | 14 | 12 | $18.00 | |
| 90744 | 395 | 390 | $12.00 | |
| 90681 | 67 | 67 | $0.00 | |
| 91300 | 1,448 | 1,413 | $0.00 | |
| 99199 | 30 | 15 | $0.00 | |
| 91313 | 16 | 16 | $0.00 | |
| 91308 | 24 | 19 | $0.00 | |
| 91312 | 16 | 16 | $0.00 | |
| 90619 | 135 | 126 | $0.00 | |
| 91309 | 13 | 13 | $0.00 | |
| 91301 | 208 | 208 | $0.00 | |
| 90732 | 68 | 68 | $0.00 | |
| 90680 | 53 | 53 | $0.00 | |
| 91305 | 16 | 16 | $0.00 | |
| 91307 | 18 | 17 | $0.00 |