M O PRIMARY SPECIALISTS PSC
NPI: 1720389034
· CABO ROJO, PR 00623
· Health Service Clinic/Center
· NPI assigned 11/03/2010
$504.08
Total Medicaid Paid
Provider Details
| Authorized Official | MELENDEZ, JOSE (PRESIDENT) |
| NPI Enumeration Date | 11/03/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
900 |
$0.53 |
| 2022 |
27 |
$503.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
27 |
26 |
$503.55 |
| 1157F |
|
62 |
35 |
$0.25 |
| 1158F |
|
52 |
30 |
$0.20 |
| 3048F |
|
61 |
33 |
$0.08 |
| 3008F |
|
76 |
42 |
$0.00 |
| 3066F |
|
25 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
78 |
$0.00 |
| 3017F |
|
77 |
41 |
$0.00 |
| 1170F |
|
62 |
35 |
$0.00 |
| 1126F |
|
27 |
15 |
$0.00 |
| 3074F |
|
89 |
48 |
$0.00 |
| 4010F |
|
25 |
14 |
$0.00 |
| 3078F |
|
87 |
54 |
$0.00 |
| 1160F |
|
64 |
35 |
$0.00 |
| 1159F |
|
62 |
35 |
$0.00 |