NPI: 1417345612 · SAN JUAN, PR 00917 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,185 | $43K |
| 2019 | 10,576 | $38K |
| 2020 | 11,049 | $50K |
| 2021 | 20,860 | $169K |
| 2022 | 25,144 | $175K |
| 2023 | 12,724 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90461 | 4,323 | 3,666 | $86K | |
| 90472 | 3,279 | 3,162 | $63K | |
| 90460 | 5,826 | 4,936 | $52K | |
| 90471 | 5,160 | 4,875 | $46K | |
| 0002A | 1,589 | 1,470 | $34K | |
| 90670 | 7,007 | 6,171 | $33K | |
| 0001A | 1,840 | 1,610 | $33K | |
| 90700 | 9,249 | 8,217 | $26K | |
| 90651 | 4,564 | 4,140 | $22K | |
| 90713 | 7,382 | 6,612 | $22K | |
| 90648 | 6,886 | 6,103 | $20K | |
| 90716 | 4,268 | 3,825 | $17K | |
| 90734 | 3,759 | 3,402 | $16K | |
| 90707 | 4,026 | 3,588 | $14K | |
| 0004A | 371 | 345 | $12K | |
| 90656 | 3,717 | 3,436 | $11K | |
| 90633 | 3,686 | 3,251 | $11K | |
| 90744 | 3,778 | 3,370 | $11K | |
| 90474 | 1,146 | 1,035 | $9K | |
| 90680 | 2,529 | 2,286 | $9K | |
| 90715 | 2,555 | 2,345 | $7K | |
| 0071A | 221 | 216 | $7K | |
| 90620 | 1,488 | 1,280 | $7K | |
| 0072A | 160 | 156 | $6K | |
| 0003A | 103 | 102 | $4K | |
| 90662 | 65 | 48 | $3K | |
| 90732 | 24 | 24 | $2K | |
| G0008 | Admin influenza virus vac | 142 | 110 | $1K |
| 0011A | 63 | 63 | $1K | |
| 0012A | 24 | 24 | $960.00 | |
| 0054A | 20 | 20 | $440.00 | |
| G0009 | Admin pneumococcal vaccine | 27 | 27 | $414.45 |
| 90686 | 16 | 16 | $281.92 | |
| 90647 | 33 | 33 | $132.00 | |
| 90685 | 58 | 56 | $124.06 | |
| 90621 | 45 | 33 | $116.00 | |
| 90746 | 31 | 31 | $48.09 | |
| 90671 | 78 | 72 | $0.00 |