Clinic
Salud Integral En LA Montana, INC.
Salud Integral En LA Montana, INC. was paid $311K by Medicaid between Jan 2018 and Nov 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoSALUD INTEGRAL EN LA MONTANA, INC.
TOA ALTA, PR 00953
TOA ALTA, PR 00953
33aNPI1609250935assigned 07/16/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$311K
24GClaims214,324
24DCodes billed80
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Puerto Rico
Rank by total paid#15 of 22
Median peer was paid$463K
This provider vs. median0.7×
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.
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 | |
|---|---|---|---|
| 2018 | 16,310 | $35K | |
| 2019 | 14,500 | $15K | |
| 2020 | 7,299 | $11K | |
| 2021 | 8,190 | $10K | |
| 2022 | 13,197 | $13K | |
| 2023 | 60,952 | $68K | |
| 2024incomplete | 93,876 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 38% | 3,757 | 3,155 | $119K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 38,734 | 33,253 | $72K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 525 | 400 | $50K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 147 | 143 | $14K |
| 76830 | Ultrasound, transvaginal | 4.0% | 467 | 441 | $12K |
| 99441 | 1.9% | 2,596 | 2,288 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 1,080 | 780 | $5K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.6% | 163 | 152 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 762 | 523 | $4K |
| 76536 | 1.3% | 147 | 137 | $4K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.1% | 63 | 60 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 6,128 | 5,497 | $3K |
68 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 73 | $3K |
| 96160 | <1% | 1,487 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 97802 | <1% | 527 | $2K | |
| 97803 | <1% | 693 | $1K | |
| 90651 | <1% | 160 | $435.00 | |
| 99050 | <1% | 1,711 | $330.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 2,519 | $240.18 |
| 96127 | <1% | 8,637 | $238.08 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 220 | $225.58 |
| 93000 | <1% | 2,050 | $189.75 | |
| 90648 | <1% | 152 | $155.06 | |
| 90734 | <1% | 94 | $145.64 | |
| 90716 | <1% | 77 | $118.72 | |
| 99442 | <1% | 303 | $93.61 | |
| 90723 | <1% | 17 | $89.01 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,021 | $80.97 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,093 | $79.38 |
| 90686 | <1% | 51 | $44.00 | |
| 90656 | <1% | 28 | $43.20 | |
| 72040 | <1% | 73 | $36.37 | |
| 90633 | <1% | 58 | $22.57 | |
| 90670 | <1% | 104 | $12.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 98 | $6.80 |
| 3008F | 0% | 6,921 | $0.00 | |
| 3044F | 0% | 998 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 10,172 | $0.00 |
| 3074F | 0% | 13,930 | $0.00 | |
| 3075F | 0% | 4,030 | $0.00 | |
| 1126F | 0% | 22,305 | $0.00 | |
| 3079F | 0% | 5,990 | $0.00 | |
| 1000F | 0% | 5,423 | $0.00 | |
| 4010F | 0% | 307 | $0.00 | |
| 1125F | 0% | 2,017 | $0.00 | |
| 1036F | 0% | 4,049 | $0.00 | |
| 3048F | 0% | 518 | $0.00 | |
| 2000F | 0% | 1,259 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 810 | $0.00 |
| 96150 | 0% | 20 | $0.00 | |
| 3049F | 0% | 63 | $0.00 | |
| 90698 | 0% | 33 | $0.00 | |
| 3080F | 0% | 15 | $0.00 | |
| 90620 | 0% | 21 | $0.00 | |
| 1111F | 0% | 59 | $0.00 | |
| 3017F | 0% | 13 | $0.00 | |
| 1159F | 0% | 18,639 | $0.00 | |
| 4013F | 0% | 326 | $0.00 | |
| 3078F | 0% | 13,244 | $0.00 | |
| 3725F | 0% | 5,713 | $0.00 | |
| 1160F | 0% | 18,580 | $0.00 | |
| 99408 | 0% | 898 | $0.00 | |
| 3077F | 0% | 807 | $0.00 | |
| 99173 | 0% | 222 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 470 | $0.00 |
| 2028F | 0% | 194 | $0.00 | |
| 99382 | 0% | 25 | $0.00 | |
| 3051F | 0% | 95 | $0.00 | |
| 3050F | 0% | 21 | $0.00 | |
| 76770 | 0% | 30 | $0.00 | |
| 3046F | 0% | 64 | $0.00 | |
| 90707 | 0% | 70 | $0.00 | |
| 0521F | 0% | 17 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| 90700 | 0% | 15 | $0.00 | |
| 72100 | 0% | 12 | $0.00 | |
| 4004F | 0% | 13 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 26 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 49 | $0.00 |
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 (EXECUTIVE DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.