NPI: 1679734552 · MANATI, PR 00674 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,484 | $2K |
| 2019 | 225 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 93000 | 125 | 118 | $833.04 | |
| 1158F | 159 | 146 | $228.00 | |
| 1157F | 134 | 126 | $228.00 | |
| 3048F | 71 | 69 | $200.00 | |
| 3079F | 332 | 305 | $150.00 | |
| 3078F | 237 | 215 | $130.00 | |
| 3074F | 220 | 197 | $130.00 | |
| 3075F | 287 | 266 | $108.00 | |
| 3077F | 14 | 14 | $3.00 | |
| 2028F | 22 | 22 | $0.00 | |
| 96160 | 144 | 50 | $0.00 | |
| 0521F | 84 | 76 | $0.00 | |
| 99211 | 12 | 12 | $0.00 | |
| 1100F | 91 | 90 | $0.00 | |
| 2022F | 34 | 33 | $0.00 | |
| 1159F | 181 | 173 | $0.00 | |
| 1160F | 182 | 174 | $0.00 | |
| 1090F | 88 | 88 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 14 | $0.00 |
| 1125F | 101 | 90 | $0.00 | |
| 3061F | 40 | 40 | $0.00 | |
| 3008F | 151 | 140 | $0.00 | |
| 99213 | 658 | 527 | $0.00 | |
| Q2036 | Flulaval vacc, 3 yrs & >, im | 14 | 14 | $0.00 |
| 99214 | 53 | 19 | $0.00 | |
| 4010F | 13 | 13 | $0.00 | |
| 3017F | 64 | 63 | $0.00 | |
| 1170F | 164 | 151 | $0.00 | |
| 90656 | 20 | 20 | $0.00 |