SAMBA BRAS MEDICAL, P.S.C
NPI: 1588988216
· FAJARDO, PR 00738
· Health Maintenance Organization
· NPI assigned 03/24/2010
$474.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
828 |
$474.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 1158F |
|
104 |
89 |
$224.00 |
| 3074F |
|
44 |
40 |
$130.00 |
| 3078F |
|
52 |
46 |
$120.00 |
| 1126F |
|
94 |
82 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
113 |
$0.00 |
| 3008F |
|
110 |
94 |
$0.00 |
| 1170F |
|
86 |
74 |
$0.00 |
| 1160F |
|
104 |
89 |
$0.00 |
| 1159F |
|
103 |
88 |
$0.00 |