NPI: 1679558845 · MAYAGUEZ, PR 00682 · Family Medicine Physician · NPI assigned 12/10/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 750 | $4K |
| 2019 | 491 | $1K |
| 2020 | 198 | $844.13 |
| 2021 | 4,290 | $48K |
| 2022 | 1,270 | $15K |
| 2023 | 1,978 | $8K |
| 2024 | 816 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0012A | 563 | 471 | $12K | |
| 0064A | 362 | 338 | $11K | |
| 0011A | 572 | 490 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,051 | 1,832 | $9K |
| 0004A | 175 | 172 | $5K | |
| 0031A | 151 | 150 | $5K | |
| 0002A | 173 | 151 | $5K | |
| 0001A | 191 | 158 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 644 | 571 | $4K |
| 0072A | 99 | 98 | $3K | |
| 0071A | 110 | 110 | $3K | |
| 90686 | 706 | 637 | $3K | |
| 91307 | 228 | 207 | $840.00 | |
| 0134A | 38 | 35 | $759.99 | |
| 0124A | 19 | 19 | $599.95 | |
| 90715 | 43 | 35 | $557.44 | |
| 90734 | 30 | 28 | $451.72 | |
| 90756 | 17 | 17 | $373.24 | |
| 90674 | 34 | 22 | $188.88 | |
| 90688 | 136 | 128 | $83.80 | |
| 90656 | 13 | 13 | $56.80 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 627 | 574 | $46.00 |
| 90700 | 49 | 43 | $41.92 | |
| 91306 | 359 | 335 | $0.14 | |
| 91303 | 146 | 146 | $0.07 | |
| 1160F | 27 | 27 | $0.00 | |
| 90671 | 16 | 13 | $0.00 | |
| 91300 | 573 | 474 | $0.00 | |
| 90713 | 37 | 30 | $0.00 | |
| 3078F | 113 | 110 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12 | 12 | $0.00 |
| 1159F | 27 | 27 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 3074F | 133 | 129 | $0.00 | |
| 3008F | 68 | 68 | $0.00 | |
| 91301 | 1,163 | 976 | $0.00 | |
| 90651 | 32 | 32 | $0.00 | |
| 3079F | 27 | 27 | $0.00 | |
| 90744 | 17 | 14 | $0.00 |