SALUD INTEGRAL EN LA MONTANA, INC.
NPI: 1609250935
· TOA ALTA, PR 00953
· 261QF0400X
$311K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,757 |
3,155 |
$119K |
| 99213 |
|
38,734 |
33,253 |
$72K |
| 99204 |
|
525 |
400 |
$50K |
| 99215 |
Prolong outpt/office vis |
147 |
143 |
$14K |
| 76830 |
|
467 |
441 |
$12K |
| 99441 |
|
2,596 |
2,288 |
$6K |
| 90471 |
|
1,080 |
780 |
$5K |
| 76700 |
|
163 |
152 |
$5K |
| 90472 |
|
762 |
523 |
$4K |
| 76536 |
|
147 |
137 |
$4K |
| 76856 |
|
63 |
60 |
$3K |
| 99212 |
|
6,128 |
5,497 |
$3K |
| 99203 |
|
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 |
Ca screen;pelvic/breast exam |
2,519 |
1,995 |
$240.18 |
| 96127 |
|
8,637 |
6,277 |
$238.08 |
| 71046 |
|
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 |
|
1,021 |
963 |
$80.97 |
| 99393 |
|
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 |
|
98 |
98 |
$6.80 |
| 3008F |
|
6,921 |
5,493 |
$0.00 |
| 3044F |
|
998 |
693 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
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 |
Diab manage trn per indiv |
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 |
|
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 |
Calc bmi abv up param f/u |
13 |
13 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |
| 72100 |
|
12 |
12 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
26 |
15 |
$0.00 |
| 99391 |
|
49 |
40 |
$0.00 |