NPI: 1740278449 · BARCELONETA, PR 00617 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 512 | $128.00 |
| 2019 | 58 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 1157F | 30 | 27 | $72.00 | |
| 1158F | 30 | 26 | $51.00 | |
| 3048F | 15 | 13 | $5.00 | |
| 2022F | 27 | 24 | $0.00 | |
| 1160F | 30 | 27 | $0.00 | |
| 4035F | 27 | 25 | $0.00 | |
| 0521F | 30 | 27 | $0.00 | |
| 3078F | 29 | 26 | $0.00 | |
| 2028F | 30 | 27 | $0.00 | |
| 1159F | 30 | 26 | $0.00 | |
| 3008F | 30 | 27 | $0.00 | |
| 3061F | 29 | 26 | $0.00 | |
| 3074F | 28 | 25 | $0.00 | |
| 3017F | 30 | 27 | $0.00 | |
| 99213 | 30 | 27 | $0.00 | |
| 1125F | 29 | 26 | $0.00 | |
| 3072F | 28 | 25 | $0.00 | |
| Q2035 | Afluria vacc, 3 yrs & >, im | 29 | 28 | $0.00 |
| 1170F | 30 | 27 | $0.00 | |
| 90686 | 29 | 28 | $0.00 |