AYALA RIOS, ROBERTO
NPI: 1518197136
· ANASCO, PR 00610
· General Practice Physician
· NPI assigned 07/16/2009
$188K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
5,800 |
$160K |
| 2022 |
753 |
$26K |
| 2023 |
900 |
$462.25 |
| 2024 |
720 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
2,579 |
2,335 |
$73K |
| 0001A |
|
2,660 |
2,348 |
$65K |
| 0003A |
|
1,259 |
1,202 |
$46K |
| 0004A |
|
43 |
43 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
627 |
366 |
$598.32 |
| 0124A |
|
12 |
12 |
$480.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
282 |
168 |
$250.90 |
| 90656 |
|
88 |
50 |
$200.01 |
| 90715 |
|
22 |
12 |
$200.00 |
| 90480 |
|
22 |
18 |
$200.00 |
| 90686 |
|
263 |
212 |
$58.65 |
| 91320 |
|
22 |
18 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
18 |
$0.00 |
| 90473 |
|
17 |
12 |
$0.00 |
| 90653 |
|
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
240 |
198 |
$0.00 |