POLICLINICA FAMILIAR SHALOM INC
NPI: 1831302173
· QUEBRADILLAS, PR 00678
· General Practice Physician
· NPI assigned 05/07/2007
$311K
Total Medicaid Paid
Provider Details
| Authorized Official | FELICIANO, IVAN (SUPERVISOR) |
| NPI Enumeration Date | 05/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
466 |
$21K |
| 2020 |
372 |
$16K |
| 2021 |
6,456 |
$203K |
| 2022 |
404 |
$22K |
| 2023 |
546 |
$29K |
| 2024 |
493 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
2,573 |
2,165 |
$126K |
| 0002A |
|
2,419 |
2,082 |
$71K |
| 0001A |
|
2,352 |
2,080 |
$71K |
| 0011A |
|
537 |
453 |
$18K |
| 0012A |
|
539 |
447 |
$15K |
| S9083 |
Global fee urgent care centers |
214 |
186 |
$5K |
| 0003A |
|
75 |
75 |
$3K |
| 0013A |
|
28 |
28 |
$1K |