PR PROFESSIONAL MEDICAL GROUP, PSC
NPI: 1427359025
· CAGUAS, PR 00725
· Pediatrics Physician
· NPI assigned 11/12/2010
Provider Details
| Authorized Official | BAEZ, JUITXA (TESORERA) |
| NPI Enumeration Date | 11/12/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,558 |
$9K |
| 2019 |
1,592 |
$12K |
| 2021 |
2,071 |
$37K |
| 2022 |
235 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
442 |
427 |
$17K |
| 0001A |
|
487 |
454 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
940 |
869 |
$15K |
| 0004A |
|
169 |
169 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
937 |
869 |
$5K |
| 0071A |
|
13 |
13 |
$520.00 |
| 0003A |
|
15 |
15 |
$440.00 |
| 90651 |
|
112 |
111 |
$96.00 |
| 90670 |
|
132 |
122 |
$84.00 |
| 90715 |
|
125 |
124 |
$78.01 |
| 90734 |
|
89 |
87 |
$60.00 |
| 90620 |
|
26 |
24 |
$42.00 |
| 90698 |
|
61 |
58 |
$42.00 |
| 90633 |
|
90 |
89 |
$30.00 |
| 90688 |
|
56 |
52 |
$24.00 |
| 90686 |
|
36 |
36 |
$12.00 |
| 90744 |
|
27 |
25 |
$6.00 |
| 91300 |
|
1,146 |
1,033 |
$0.00 |
| 1090F |
|
13 |
13 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |
| 3028F |
|
21 |
20 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 2010F |
|
68 |
65 |
$0.00 |
| 2001F |
|
68 |
65 |
$0.00 |
| 91307 |
|
34 |
29 |
$0.00 |
| 1126F |
|
57 |
55 |
$0.00 |
| 2000F |
|
68 |
65 |
$0.00 |
| 3008F |
|
68 |
65 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
58 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |