NPI: 1497236228 · NARANJITO, PR 00719 · Clinic/Center · NPI assigned 08/29/2018
Authorized official AMADOR FERNANDEZ, GLORIA controls 20+ related entities in our dataset. Read more
| Authorized Official | AMADOR FERNANDEZ, GLORIA (EXECUTIVE DIRECTOR) |
| Parent Organization | SALUD INTEGRAL EN LA MONTANA, INC |
| NPI Enumeration Date | 08/29/2018 |
Other providers sharing the same authorized official: AMADOR FERNANDEZ, GLORIA
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,955 | $21K |
| 2021 | 15,394 | $251K |
| 2022 | 8,014 | $74K |
| 2023 | 5,636 | $118K |
| 2024 | 5,756 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8,080 | 7,126 | $89K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 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 | Administration of influenza virus vaccine | 33 | 28 | $0.00 |
| 91312 | 210 | 198 | $0.00 | |
| 91300 | 3,448 | 2,771 | $0.00 | |
| 91308 | 99 | 90 | $0.00 |