NPI: 1699763102 · SAN SEBASTIAN, PR 00685 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,388 | $135K |
| 2019 | 5,107 | $50K |
| 2020 | 2,563 | $20K |
| 2021 | 8,417 | $196K |
| 2022 | 6,938 | $136K |
| 2023 | 5,156 | $127K |
| 2024 | 4,122 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99051 | 2,373 | 1,724 | $101K | |
| 90471 | 7,966 | 6,891 | $64K | |
| 0002A | 1,715 | 1,673 | $62K | |
| 90472 | 4,336 | 3,805 | $55K | |
| 0001A | 1,981 | 1,846 | $55K | |
| 77067 | 773 | 723 | $50K | |
| 76830 | 701 | 641 | $44K | |
| 71046 | 1,956 | 1,850 | $36K | |
| 72100 | 1,581 | 1,512 | $35K | |
| 76700 | 568 | 501 | $33K | |
| 0003A | 845 | 840 | $30K | |
| 72040 | 1,048 | 1,013 | $25K | |
| 76770 | 237 | 202 | $13K | |
| 90649 | 1,907 | 1,648 | $12K | |
| 99283 | 115 | 80 | $11K | |
| 77066 | Tomosynthesis, mammo | 169 | 103 | $8K |
| 90686 | 2,999 | 2,549 | $7K | |
| 90734 | 1,830 | 1,635 | $7K | |
| 76536 | 188 | 151 | $7K | |
| 76641 | 185 | 129 | $7K | |
| 90670 | 1,336 | 1,227 | $7K | |
| 74018 | 483 | 452 | $6K | |
| 71045 | 555 | 485 | $6K | |
| 0124A | 142 | 141 | $5K | |
| 0072A | 129 | 128 | $5K | |
| 0071A | 123 | 117 | $5K | |
| 73560 | 326 | 285 | $5K | |
| 77080 | 303 | 247 | $5K | |
| 96365 | 51 | 27 | $4K | |
| 0013A | 72 | 72 | $3K | |
| 73030 | 122 | 102 | $2K | |
| 90621 | 89 | 76 | $2K | |
| 0004A | 45 | 40 | $2K | |
| 90474 | 290 | 280 | $2K | |
| 90715 | 502 | 419 | $1K | |
| 90620 | 129 | 98 | $1K | |
| 91320 | 17 | 16 | $1K | |
| 90716 | 755 | 679 | $959.25 | |
| 76856 | 12 | 12 | $736.62 | |
| 93010 | 162 | 131 | $526.28 | |
| 0073A | 13 | 13 | $480.00 | |
| 0081A | 19 | 19 | $440.00 | |
| 90480 | 23 | 21 | $400.00 | |
| 70250 | 26 | 26 | $343.33 | |
| 90633 | 652 | 563 | $311.09 | |
| 73620 | 22 | 22 | $263.56 | |
| 90707 | 679 | 612 | $142.92 | |
| 90700 | 429 | 416 | $39.80 | |
| 90648 | 542 | 525 | $39.27 | |
| 90723 | 515 | 487 | $0.29 | |
| 90713 | 246 | 244 | $0.19 | |
| 90680 | 222 | 212 | $0.05 | |
| 90744 | 12 | 12 | $0.03 | |
| 90698 | 58 | 44 | $0.02 | |
| 90681 | 59 | 58 | $0.01 | |
| 99214 | 37 | 30 | $0.00 | |
| 99213 | 21 | 12 | $0.00 |