Medicaid Provider Spending

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

SALUD INTEGRAL EN LA MONTANA, INC.

NPI: 1609250935 · TOA ALTA, PR 00953 · Federally Qualified Health Center (FQHC) · NPI assigned 07/16/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$311K
Total Medicaid Paid
214,324
Total Claims
176,376
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAMADOR FERNANDEZ, GLORIA (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/16/2015

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 BARRANQUITAS PR $2.80M
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 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
2018 16,310 $35K
2019 14,500 $15K
2020 7,299 $11K
2021 8,190 $10K
2022 13,197 $13K
2023 60,952 $68K
2024 93,876 $159K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,757 3,155 $119K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,734 33,253 $72K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 525 400 $50K
99215 Prolong outpt/office vis 147 143 $14K
76830 Ultrasound, transvaginal 467 441 $12K
99441 2,596 2,288 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,080 780 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 163 152 $5K
90472 Immunization administration, each additional vaccine (list separately) 762 523 $4K
76536 147 137 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 63 60 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,128 5,497 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 73 59 $3K
96160 1,487 1,334 $2K
99205 Prolong outpt/office vis 13 12 $2K
97802 527 398 $2K
97803 693 437 $1K
90651 160 116 $435.00
99050 1,711 1,532 $330.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 2,519 1,995 $240.18
96127 8,637 6,277 $238.08
71046 Radiologic examination, chest; 2 views 220 203 $225.58
93000 2,050 1,624 $189.75
90648 152 101 $155.06
90734 94 64 $145.64
90716 77 59 $118.72
99442 303 288 $93.61
90723 17 12 $89.01
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,021 963 $80.97
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,093 1,037 $79.38
90686 51 36 $44.00
90656 28 26 $43.20
72040 73 63 $36.37
90633 58 38 $22.57
90670 104 81 $12.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 98 98 $6.80
3008F 6,921 5,493 $0.00
3044F 998 693 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 10,172 7,840 $0.00
3074F 13,930 11,475 $0.00
3075F 4,030 3,339 $0.00
1126F 22,305 18,294 $0.00
3079F 5,990 4,873 $0.00
1000F 5,423 4,375 $0.00
4010F 307 244 $0.00
1125F 2,017 1,870 $0.00
1036F 4,049 3,507 $0.00
3048F 518 350 $0.00
2000F 1,259 926 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 810 597 $0.00
96150 20 16 $0.00
3049F 63 36 $0.00
90698 33 24 $0.00
3080F 15 15 $0.00
90620 21 12 $0.00
1111F 59 59 $0.00
3017F 13 13 $0.00
1159F 18,639 15,152 $0.00
4013F 326 256 $0.00
3078F 13,244 11,073 $0.00
3725F 5,713 4,360 $0.00
1160F 18,580 15,104 $0.00
99408 898 842 $0.00
3077F 807 733 $0.00
99173 222 222 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 470 447 $0.00
2028F 194 121 $0.00
99382 25 25 $0.00
3051F 95 59 $0.00
3050F 21 12 $0.00
76770 30 28 $0.00
3046F 64 41 $0.00
90707 70 47 $0.00
0521F 17 16 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 13 $0.00
90700 15 13 $0.00
72100 12 12 $0.00
4004F 13 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 26 15 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 49 40 $0.00