SALUD INTEGRAL EN LA MONTANA, INC
NPI: 1518419670
· TOA ALTA, PR 00953
· 261QM0801X
$153.79
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$0.00 |
| 2020 |
132 |
$153.79 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99443 |
|
17 |
15 |
$63.80 |
| 99442 |
|
55 |
44 |
$57.52 |
| 99441 |
|
35 |
33 |
$32.47 |
| G8431 |
Pos clin depres scrn f/u doc |
25 |
25 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |