Clinic
Salud Integral En LA Montana, INC.
Salud Integral En LA Montana, INC. was paid $85K by Medicaid between Jan 2018 and Nov 2024, across 71 billing codes. Its largest line is 99051, — 19% of everything it billed.
33Billing provider infoSALUD INTEGRAL EN LA MONTANA, INC.
TOA ALTA, PR 00953
TOA ALTA, PR 00953
33aNPI1639372618assigned 06/07/2007
33bProvider typeClinic/Center
28Total paid$85K
24GClaims65,253
24DCodes billed71
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Puerto Rico
Rank by total paid#47 of 117
Median peer was paid$38K
This provider vs. median2.3×
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 | 14,825 | $52K | |
| 2019 | 7,715 | $14K | |
| 2020 | 3,342 | $9K | |
| 2021 | 3,394 | $7K | |
| 2022 | 5,737 | $1K | |
| 2023 | 11,984 | $2K | |
| 2024incomplete | 18,256 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 19% | 557 | 535 | $16K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 2,487 | 2,235 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12% | 1,227 | 747 | $10K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 1,972 | 1,822 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 9.9% | 887 | 529 | $8K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 8.6% | 1,394 | 1,266 | $7K |
| 99218 | 6.5% | 2,017 | 1,796 | $6K | |
| 99219 | 5.5% | 1,232 | 1,103 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 13,037 | 11,266 | $4K |
| 99441 | 4.5% | 4,541 | 3,958 | $4K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.1% | 172 | 137 | $2K |
| 90651 | 1.0% | 168 | 96 | $886.11 |
59 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,728 | $620.47 |
| 90734 | <1% | 120 | $582.56 | |
| 94664 | <1% | 617 | $431.76 | |
| 90670 | <1% | 226 | $237.30 | |
| 99220 | <1% | 131 | $218.21 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 745 | $155.14 |
| 90716 | <1% | 200 | $130.72 | |
| 99070 | <1% | 72 | $80.00 | |
| 99442 | <1% | 17 | $42.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 563 | $26.46 |
| 90707 | <1% | 161 | $12.00 | |
| 93000 | <1% | 281 | $9.54 | |
| 3078F | 0% | 3,025 | $0.00 | |
| 1159F | 0% | 4,633 | $0.00 | |
| 96160 | 0% | 383 | $0.00 | |
| 1160F | 0% | 4,525 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 159 | $0.00 |
| 99408 | 0% | 239 | $0.00 | |
| 99382 | 0% | 33 | $0.00 | |
| 3725F | 0% | 577 | $0.00 | |
| 3077F | 0% | 194 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 189 | $0.00 |
| 90715 | 0% | 39 | $0.00 | |
| 2028F | 0% | 286 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 68 | $0.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 66 | $0.00 |
| 99173 | 0% | 52 | $0.00 | |
| 90700 | 0% | 23 | $0.00 | |
| 4013F | 0% | 17 | $0.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 12 | $0.00 |
| 4004F | 0% | 52 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 16 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| 90648 | 0% | 13 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,562 | $0.00 |
| 1000F | 0% | 306 | $0.00 | |
| 1126F | 0% | 4,325 | $0.00 | |
| 3074F | 0% | 2,497 | $0.00 | |
| 97802 | 0% | 26 | $0.00 | |
| 3044F | 0% | 321 | $0.00 | |
| 1036F | 0% | 948 | $0.00 | |
| 96127 | 0% | 1,515 | $0.00 | |
| 2000F | 0% | 611 | $0.00 | |
| 3075F | 0% | 827 | $0.00 | |
| 3048F | 0% | 190 | $0.00 | |
| 3079F | 0% | 528 | $0.00 | |
| 1125F | 0% | 853 | $0.00 | |
| 3008F | 0% | 1,226 | $0.00 | |
| 97804 | 0% | 17 | $0.00 | |
| 4010F | 0% | 96 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 46 | $0.00 |
| 3061F | 0% | 42 | $0.00 | |
| 3049F | 0% | 28 | $0.00 | |
| 99383 | 0% | 40 | $0.00 | |
| 3011F | 0% | 12 | $0.00 | |
| 3060F | 0% | 15 | $0.00 | |
| 3014F | 0% | 17 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| 99384 | 0% | 12 | $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.