Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SALUD INTEGRAL EN LA MONTANA, INC

NPI: 1568996569 · BARRANQUITAS, PR 00794 · Emergency Care Clinic/Center · NPI assigned 04/17/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code 99051 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official AMADOR FERNANDEZ, GLORIA controls 20+ related entities in our dataset. Read more

$2.80M
Total Medicaid Paid
41,039
Total Claims
38,063
Beneficiaries
3
Codes Billed
2019-09
First Month
2024-08
Last Month

Provider Details

Authorized OfficialAMADOR FERNANDEZ, GLORIA (DIRECTORA EJECUTIVA)
Parent OrganizationSALUD INTEGRAL EN LA MONTANA, INC
NPI Enumeration Date04/17/2017

Related Entities

Other providers sharing the same authorized official: AMADOR FERNANDEZ, GLORIA

ProviderCityStateTotal Paid
SALUD INTEGRAL EN LA MONTANA, INC. OROCOVIS PR $3.07M
SALUD INTEGRAL EN LA MONTANA, INC OROCOVIS PR $1.29M
SALUD INTEGRAL EN LA MONTANA, INC OROCOVIS PR $621K
SALUD INTEGRAL EN LA MONTANA, INC NARANJITO PR $532K
SALUD INTEGRAL EN LA MONTANA, INC COROZAL PR $527K
SALUD INTEGRAL EN LA MONTANA, INC BARRANQUITAS PR $468K
SALUD INTEGRAL EN LA MONTANA, INC COROZAL PR $467K
SALUD INTEGRAL EN LA MONTANA, INC COMERIO PR $407K
SALUD INTEGRAL EN LA MONTANA, INC. TOA ALTA PR $311K
SALUD INTEGRAL EN LA MONTANA, INC NARANJITO PR $296K
SALUD INTEGRAL EN LA MONTANA, INC COMERIO PR $265K
SALUD INTEGRAL EN LA MONTANA, INC TOA ALTA PR $246K
SALUD INTEGRAL EN LA MONTANA, INC BARRANQUITAS PR $202K
SALUD INTEGRAL EN LA MONTANA, INC BAYAMON PR $181K
SALUD INTEGRAL EN LA MONTANA, INC COMERIO PR $174K
SALUD INTEGRAL EN LA MONTANA, INC OROCOVIS PR $160K
SALUD INTEGRAL EN LA MONTANA, INC TOA ALTA PR $104K
SALUD INTEGRAL EN LA MONTANA, INC TOA ALTA PR $100K
SALUD INTEGRAL EN LA MONTANA, INC. TOA ALTA PR $85K
SALUD INTEGRAL EN LA MONTANA, INC NARANJITO PR $84K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,399 $240K
2020 6,001 $382K
2021 7,142 $515K
2022 7,930 $451K
2023 11,374 $841K
2024 5,193 $374K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99051 39,916 37,280 $2.75M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,110 771 $57K
99284 Emergency department visit for the evaluation and management, high severity 13 12 $939.51