Clinic
Salud Integral En LA Montana, INC
Salud Integral En LA Montana, INC was paid $2.80M by Medicaid between Sep 2019 and Aug 2024, across 3 billing codes. Its largest line is 99051, — 98% of everything it billed.
33Billing provider infoSALUD INTEGRAL EN LA MONTANA, INC
BARRANQUITAS, PR 00794
BARRANQUITAS, PR 00794
33aNPI1568996569assigned 04/17/2017
33bProvider typeEmergency Care Clinic/Center
28Total paid$2.80M
24GClaims41,039
24DCodes billed3
24AFirst – last monthSep 2019 – Aug 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Puerto Rico
Rank by total paid#3 of 55
Median peer was paid$175K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration98% of spending on code 99051 with only 3 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official AMADOR FERNANDEZ, GLORIA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 3,399 | $240K | |
| 2020 | 6,001 | $382K | |
| 2021 | 7,142 | $515K | |
| 2022 | 7,930 | $451K | |
| 2023 | 11,374 | $841K | |
| 2024incomplete | 5,193 | $374K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 98% | 39,916 | 37,280 | $2.75M | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.0% | 1,110 | 771 | $57K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 13 | 12 | $939.51 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAMADOR FERNANDEZ, GLORIA (DIRECTORA EJECUTIVA)
Parent organizationSALUD INTEGRAL EN LA MONTANA, INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.