CLINICA MUNDO SALUD SAN SEBASTIAN C.S.P.
NPI: 1700107513
· SAN SEBASTIAN, PR 00685
· General Practice Physician
· NPI assigned 06/15/2010
$364.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
365 |
$364.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 3074F |
|
25 |
14 |
$140.00 |
| 3078F |
|
25 |
14 |
$140.00 |
| 1158F |
|
27 |
15 |
$84.00 |
| 0545F |
|
27 |
15 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
105 |
$0.00 |
| 1036F |
|
27 |
15 |
$0.00 |
| 1170F |
|
27 |
15 |
$0.00 |
| 1160F |
|
27 |
15 |
$0.00 |
| 1159F |
|
27 |
15 |
$0.00 |