Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Salud Integral En LA Montana, INC

Salud Integral En LA Montana, INC was paid $258K by Medicaid between Jun 2019 and Dec 2024, across 67 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.

33Billing provider infoSALUD INTEGRAL EN LA MONTANA, INC
BAYAMON, PR 00961
33aNPI1740772102assigned 06/01/2018
28Total paid$258K
24GClaims83,558
24DCodes billed67
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Puerto Rico

Rank by total paid#8 of 65
Median peer was paid$9K
This provider vs. median30×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201943$0.00
20202,066$3K
20213,117$11K
20229,195$29K
202331,314$88K
2024incomplete37,823$127K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 19% 1,760 1,186 $48K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 9,053 7,932 $40K
D2150 Silver amalgam - two surfaces, primary or permanent 11% 585 268 $27K
D0150 Comprehensive oral evaluation - new or established patient 10.0% 1,118 846 $26K
D0272 Bitewings - two radiographic images 6.3% 1,126 757 $16K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.8% 1,036 605 $15K
99442 5.7% 1,984 1,558 $15K
97802 5.0% 861 635 $13K
D0330 Panoramic radiographic image 4.4% 389 329 $11K
D2140 3.1% 224 121 $8K
D1208 Topical application of fluoride, excluding varnish 2.9% 536 341 $7K
97803 2.6% 592 436 $7K
55 more codes
D1120 Dental cleaning, child 2.5% 337 $6K
D2330 1.3% 84 $3K
99214 Doctor's office visit, returning patient (more involved) <1% 2,109 $2K
D0140 Limited oral evaluation - problem focused <1% 119 $2K
D2160 <1% 31 $2K
99215 Doctor's office visit, returning patient (complex) <1% 354 $2K
99441 <1% 1,631 $2K
D0220 Intraoral - periapical first radiographic image <1% 238 $2K
96160 <1% 709 $2K
D2331 <1% 25 $1K
96127 <1% 2,973 $591.06
D1999 <1% 20 $290.20
99203 Doctor's office visit, new patient (routine) <1% 171 $76.80
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 20 $59.46
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 830 $50.15
93000 <1% 107 $48.00
3078F 0% 3,161 $0.00
1159F 0% 6,742 $0.00
1100F 0% 840 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 781 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,582 $0.00
1160F 0% 6,686 $0.00
99408 0% 317 $0.00
3077F 0% 118 $0.00
1158F 0% 546 $0.00
3050F 0% 12 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 483 $0.00
2028F 0% 135 $0.00
3725F 0% 810 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 103 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 78 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 28 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 16 $0.00
2000F 0% 231 $0.00
3079F 0% 2,349 $0.00
1126F 0% 6,117 $0.00
3008F 0% 2,907 $0.00
1125F 0% 1,143 $0.00
3075F 0% 1,362 $0.00
1036F 0% 2,243 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 3,086 $0.00
D0603 0% 652 $0.00
3074F 0% 4,004 $0.00
D1310 0% 1,891 $0.00
D1330 0% 1,906 $0.00
1000F 0% 1,491 $0.00
D0602 0% 1,016 $0.00
3048F 0% 188 $0.00
4000F 0% 312 $0.00
99443 0% 88 $0.00
1136F 0% 26 $0.00
1005F 0% 45 $0.00
3049F 0% 14 $0.00
D0601 0% 12 $0.00
3011F 0% 15 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialAMADOR, GLORIA (EXECUTIVE DIRECTOR)
Same official

Other billing entities under AMADOR, GLORIA

Full network →
ProviderLocationPaid
Salud Integral En LA Montana, INCNaranjito, PR$1.29M
Salud Integral En LA Montana, INC.Barranquitas, PR$1.01M
Salud Integral En LA Montana, INCOrocovis, PR$939K
Salud Integral En LA Montana, INCCorozal, PR$476K
Salud Integral En LA Montana, INCBarranquitas, PR$244K
Salud Integral En LA Montana, INCNaranjito, PR$14K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.