SALUD INTEGRAL EN LA MONTANA, INC
NPI: 1497236228
· NARANJITO, PR 00719
· 261Q00000X
$532K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,955 |
$21K |
| 2021 |
15,394 |
$251K |
| 2022 |
8,014 |
$74K |
| 2023 |
5,636 |
$118K |
| 2024 |
5,756 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
|
8,080 |
7,126 |
$89K |
| 90472 |
|
3,846 |
3,402 |
$62K |
| 0011A |
|
1,405 |
1,372 |
$50K |
| 0012A |
|
1,224 |
1,143 |
$48K |
| 0002A |
|
1,288 |
1,136 |
$47K |
| 0001A |
|
1,261 |
1,131 |
$43K |
| 90651 |
|
1,162 |
1,045 |
$22K |
| 0064A |
|
540 |
492 |
$19K |
| 0004A |
|
571 |
473 |
$19K |
| 90670 |
|
934 |
879 |
$15K |
| 0072A |
|
382 |
378 |
$15K |
| 90677 |
|
459 |
376 |
$14K |
| 0071A |
|
314 |
314 |
$12K |
| 90686 |
|
2,428 |
2,320 |
$11K |
| 90716 |
|
757 |
679 |
$10K |
| 0124A |
|
210 |
198 |
$8K |
| 0054A |
|
737 |
690 |
$8K |
| 90656 |
|
472 |
252 |
$6K |
| 90715 |
|
478 |
395 |
$6K |
| 90707 |
|
663 |
598 |
$4K |
| 91307 |
|
778 |
699 |
$3K |
| 90698 |
|
398 |
379 |
$3K |
| 90674 |
|
114 |
102 |
$3K |
| 90621 |
|
245 |
210 |
$3K |
| 91320 |
|
20 |
20 |
$2K |
| 90633 |
|
589 |
550 |
$1K |
| 90734 |
|
328 |
309 |
$1K |
| 0082A |
|
33 |
33 |
$1K |
| 90681 |
|
255 |
228 |
$1K |
| 90697 |
|
13 |
13 |
$879.48 |
| 0074A |
|
21 |
21 |
$840.00 |
| 0081A |
|
21 |
21 |
$760.00 |
| 90480 |
|
21 |
21 |
$720.00 |
| 90744 |
|
160 |
151 |
$643.40 |
| 90648 |
|
243 |
218 |
$500.98 |
| 90696 |
|
136 |
128 |
$148.03 |
| 90700 |
|
293 |
252 |
$135.88 |
| 90688 |
|
446 |
427 |
$112.82 |
| 90620 |
|
68 |
68 |
$12.02 |
| 91306 |
|
539 |
491 |
$0.30 |
| 90685 |
|
15 |
14 |
$0.03 |
| 90619 |
|
558 |
465 |
$0.02 |
| 91301 |
|
2,216 |
2,065 |
$0.00 |
| 91305 |
|
244 |
244 |
$0.00 |
| G0008 |
Admin influenza virus vac |
33 |
28 |
$0.00 |
| 91312 |
|
210 |
198 |
$0.00 |
| 91300 |
|
3,448 |
2,771 |
$0.00 |
| 91308 |
|
99 |
90 |
$0.00 |