NPI: 1730125584 · VEGA ALTA, PR 00692 · 261QE0002X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 164 | $5K |
| 2019 | 175 | $980.20 |
| 2020 | 937 | $20K |
| 2021 | 6,713 | $103K |
| 2022 | 4,168 | $59K |
| 2023 | 4,114 | $122K |
| 2024 | 4,551 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99051 | 3,828 | 3,091 | $235K | |
| 90471 | 4,444 | 3,656 | $39K | |
| 90472 | 2,600 | 2,125 | $28K | |
| 0012A | 481 | 466 | $17K | |
| 0011A | 424 | 417 | $12K | |
| 0002A | 372 | 360 | $11K | |
| 0001A | 402 | 383 | $8K | |
| 90688 | 981 | 836 | $6K | |
| 99285 | 31 | 28 | $5K | |
| 0013A | 120 | 120 | $5K | |
| 90649 | 745 | 632 | $4K | |
| 90715 | 312 | 262 | $3K | |
| 90716 | 641 | 518 | $3K | |
| 90707 | 639 | 527 | $2K | |
| 90677 | 224 | 139 | $1K | |
| 0071A | 32 | 32 | $1K | |
| 72100 | 48 | 27 | $941.82 | |
| 90620 | 99 | 96 | $901.25 | |
| 90670 | 277 | 273 | $584.47 | |
| 90696 | 187 | 169 | $545.72 | |
| 0003A | 12 | 12 | $480.00 | |
| 90734 | 259 | 236 | $236.86 | |
| 90657 | 37 | 21 | $235.82 | |
| 90686 | 27 | 18 | $222.65 | |
| 90634 | 300 | 267 | $213.25 | |
| 90700 | 144 | 138 | $188.64 | |
| 93010 | 899 | 867 | $137.01 | |
| 90662 | 49 | 30 | $41.06 | |
| 90633 | 104 | 60 | $11.00 | |
| 90623 | 61 | 36 | $0.02 | |
| G0008 | Admin influenza virus vac | 18 | 17 | $0.00 |
| 91301 | 889 | 866 | $0.00 | |
| 90619 | 58 | 42 | $0.00 | |
| 90744 | 29 | 29 | $0.00 | |
| 91307 | 59 | 59 | $0.00 | |
| 90723 | 14 | 14 | $0.00 | |
| 90647 | 31 | 31 | $0.00 | |
| 71046 | 38 | 38 | $0.00 | |
| 90621 | 12 | 12 | $0.00 | |
| 90713 | 14 | 14 | $0.00 | |
| 91300 | 857 | 812 | $0.00 | |
| 90460 | 24 | 23 | $0.00 |