MED CENTRO, INC.
NPI: 1407128226
· PONCE, PR 00716
· Clinic/Center
· NPI assigned 02/09/2012
$282K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CINTRON-SALICHS, ALLAN
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90461 |
|
3,538 |
3,292 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,254 |
3,946 |
$45K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,971 |
1,826 |
$40K |
| 0004A |
|
922 |
922 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
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 |
Unlisted special service, procedure or report |
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 |