QUALICENTERS PUEBLO, LLC
NPI: 1720190523
· CANON CITY, CO 81212
· 261QE0700X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,566 |
$71K |
| 2019 |
129 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
928 |
149 |
$79K |
| 82728 |
|
25 |
25 |
$0.00 |
| 85018 |
|
168 |
78 |
$0.00 |
| 83735 |
|
12 |
12 |
$0.00 |
| 84075 |
|
26 |
26 |
$0.00 |
| 85025 |
|
63 |
62 |
$0.00 |
| 83550 |
|
51 |
50 |
$0.00 |
| A4657 |
Syringe w/wo needle |
130 |
26 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 84155 |
|
64 |
63 |
$0.00 |
| 83970 |
|
29 |
26 |
$0.00 |
| 84520 |
|
122 |
77 |
$0.00 |
| 83540 |
|
64 |
63 |
$0.00 |