MUNICIPIO DE GUAYANILLA
NPI: 1760785174
· GUAYANILLA, PR 00656
· State or Local Public Health Clinic/Center
· NPI assigned 12/08/2010
$109K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ARLEQUIN, EDGARDO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,214 |
$31K |
| 2019 |
1,004 |
$5K |
| 2020 |
666 |
$3K |
| 2021 |
2,460 |
$39K |
| 2022 |
1,827 |
$19K |
| 2023 |
1,407 |
$9K |
| 2024 |
979 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,102 |
3,181 |
$34K |
| 0002A |
|
454 |
345 |
$12K |
| 0001A |
|
414 |
399 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,350 |
1,181 |
$11K |
| 90461 |
|
1,104 |
670 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
549 |
479 |
$7K |
| 0004A |
|
203 |
164 |
$6K |
| 0003A |
|
110 |
108 |
$4K |
| 0072A |
|
95 |
95 |
$4K |
| 90686 |
|
823 |
727 |
$2K |
| 90651 |
|
774 |
702 |
$2K |
| 91307 |
|
173 |
155 |
$2K |
| 90670 |
|
654 |
609 |
$2K |
| 0071A |
|
36 |
35 |
$1K |
| 90715 |
|
389 |
354 |
$998.91 |
| 90677 |
|
54 |
45 |
$505.16 |
| 0054A |
|
17 |
13 |
$400.00 |
| 90685 |
|
214 |
137 |
$376.00 |
| 90656 |
|
97 |
67 |
$244.00 |
| 90734 |
|
486 |
453 |
$204.09 |
| 90688 |
|
100 |
92 |
$196.00 |
| 90633 |
|
132 |
112 |
$120.00 |
| 90716 |
|
363 |
340 |
$120.00 |
| 90707 |
|
292 |
278 |
$56.00 |
| 90702 |
|
697 |
684 |
$48.00 |
| 90648 |
|
170 |
170 |
$0.00 |
| 90713 |
|
33 |
33 |
$0.00 |
| 90658 |
|
356 |
355 |
$0.00 |
| 90681 |
|
283 |
279 |
$0.00 |
| 91300 |
|
118 |
115 |
$0.00 |
| 90714 |
|
52 |
52 |
$0.00 |
| 90700 |
|
21 |
21 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90620 |
|
286 |
282 |
$0.00 |
| 90657 |
|
24 |
24 |
$0.00 |
| 90647 |
|
41 |
41 |
$0.00 |
| 90744 |
|
209 |
208 |
$0.00 |
| 90634 |
|
236 |
235 |
$0.00 |
| 90697 |
|
19 |
13 |
$0.00 |
| 90632 |
|
15 |
15 |
$0.00 |