CENTRO VACUNIN
NPI: 1417345612
· SAN JUAN, PR 00917
· Clinic/Center
· NPI assigned 12/23/2014
$587K
Total Medicaid Paid
Provider Details
| Authorized Official | TORRES, JUAN (PRESIDENT) |
| NPI Enumeration Date | 12/23/2014 |
Related Entities
Other providers sharing the same authorized official: TORRES, JUAN
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90461 |
|
4,323 |
3,666 |
$86K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,279 |
3,162 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,826 |
4,936 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
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 |
Administration of influenza virus vaccine |
142 |
110 |
$1K |
| 0011A |
|
63 |
63 |
$1K |
| 0012A |
|
24 |
24 |
$960.00 |
| 0054A |
|
20 |
20 |
$440.00 |
| G0009 |
Administration of 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 |