Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › ARECIBO › CENTRO VACUNACION POLICLINICA FAMILIAR FACTOR

CENTRO VACUNACION POLICLINICA FAMILIAR FACTOR

NPI: 1487868840 · ARECIBO, PR 00612 · Health Service Clinic/Center · NPI assigned 05/09/2007

$116K
Total Medicaid Paid
5,572
Total Claims
5,081
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRIVERA, MIRIAN (DIRECTOR)
NPI Enumeration Date05/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 247 $784.00
2019 47 $154.00
2020 111 $328.00
2021 3,019 $85K
2022 1,586 $27K
2023 272 $2K
2024 290 $768.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 623 604 $23K
0011A 635 610 $22K
0002A 577 486 $19K
0001A 562 463 $18K
0013A 325 325 $13K
0003A 179 177 $7K
0064A 98 98 $4K
0004A 72 70 $3K
90649 402 355 $2K
90686 497 485 $2K
90715 387 348 $1K
90734 317 262 $1K
90670 265 256 $692.00
0073A 13 13 $480.00
0054A 12 12 $360.00
90716 121 102 $336.00
90707 118 100 $312.00
90633 52 44 $164.00
90713 47 41 $156.00
90621 47 39 $148.00
90688 43 42 $132.00
90648 44 33 $132.00
90620 24 19 $72.00
90696 19 14 $52.00
90744 12 12 $44.00
0081A 20 19 $40.00
90460 Immunization administration through 18 years of age via any route, first or only component 29 21 $12.00
90677 17 16 $4.00
0134A 15 15 $0.00