Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PUERTO RICO › MANATI › VACUNAS MED LLC

VACUNAS MED LLC

NPI: 1841698586 · MANATI, PUERTO RICO 00674 · Clinic/Center · NPI assigned 12/11/2014

$696.00
Total Medicaid Paid
119
Total Claims
117
Beneficiaries
2
Codes Billed
2018-06
First Month
2018-10
Last Month

Provider Details

Authorized OfficialREYES, JUAN (OWNER)
NPI Enumeration Date12/11/2014

Related Entities

Other providers sharing the same authorized official: REYES, JUAN

ProviderCityStateTotal Paid
PROFESSIONAL BEHAVIORAL & MENTAL HEALTH INC MIAMI FL $6.04M
CARE MENTAL SOLUTIONS INC MIAMI FL $481K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 119 $696.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90461 50 49 $432.00
90460 Immunization administration through 18 years of age via any route, first or only component 69 68 $264.00