NPI: 1508348376 · BAYAMON, PR 00961 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 714 | $4K |
| 2021 | 4,451 | $48K |
| 2022 | 2,874 | $21K |
| 2023 | 3,961 | $61K |
| 2024 | 4,952 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 5,256 | 3,862 | $55K | |
| 90472 | 3,005 | 2,138 | $41K | |
| 90651 | 861 | 641 | $15K | |
| 90677 | 476 | 240 | $8K | |
| 0002A | 228 | 227 | $8K | |
| 0001A | 192 | 191 | $7K | |
| 90670 | 699 | 589 | $6K | |
| 0012A | 178 | 171 | $5K | |
| 90716 | 720 | 496 | $5K | |
| 0011A | 188 | 181 | $4K | |
| 90686 | 416 | 293 | $3K | |
| 0071A | 98 | 94 | $3K | |
| 0064A | 97 | 84 | $3K | |
| 0004A | 97 | 96 | $3K | |
| 90707 | 632 | 413 | $3K | |
| 0072A | 65 | 63 | $2K | |
| 90715 | 243 | 209 | $2K | |
| 90656 | 543 | 469 | $2K | |
| 90633 | 645 | 449 | $1K | |
| 90698 | 90 | 66 | $1K | |
| 90620 | 39 | 26 | $684.44 | |
| 91307 | 185 | 167 | $600.00 | |
| 90671 | 26 | 21 | $519.96 | |
| 0124A | 12 | 12 | $480.00 | |
| 90744 | 13 | 12 | $181.06 | |
| 90697 | 55 | 45 | $144.00 | |
| 90734 | 116 | 105 | $116.00 | |
| 90619 | 395 | 271 | $107.87 | |
| 90696 | 40 | 32 | $106.65 | |
| 90648 | 130 | 97 | $92.01 | |
| 90700 | 78 | 58 | $85.93 | |
| 0054A | 12 | 12 | $80.00 | |
| 91306 | 97 | 84 | $0.06 | |
| 91301 | 359 | 343 | $0.00 | |
| 91305 | 12 | 12 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 41 | 37 | $0.00 |
| 91300 | 601 | 573 | $0.00 | |
| 91312 | 12 | 12 | $0.00 |