NPI: 1861629628 · BAYAMON, PR 00961 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,063 | $21K |
| 2019 | 1,225 | $15K |
| 2020 | 1,618 | $10K |
| 2021 | 8,059 | $98K |
| 2022 | 3,050 | $34K |
| 2023 | 2,924 | $44K |
| 2024 | 2,023 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 5,020 | 4,710 | $48K | |
| 90670 | 330 | 278 | $33K | |
| 90472 | 1,966 | 1,776 | $26K | |
| 0002A | 739 | 727 | $22K | |
| 0001A | 832 | 824 | $19K | |
| 0003A | 449 | 449 | $17K | |
| 90686 | 2,949 | 2,830 | $17K | |
| 0011A | 479 | 479 | $15K | |
| 0012A | 439 | 436 | $15K | |
| 90649 | 337 | 320 | $5K | |
| 0013A | 107 | 105 | $4K | |
| 90656 | 660 | 563 | $4K | |
| 0071A | 79 | 79 | $3K | |
| 90734 | 261 | 247 | $3K | |
| 0072A | 72 | 71 | $3K | |
| 90716 | 110 | 104 | $2K | |
| 90677 | 104 | 102 | $2K | |
| 0004A | 51 | 49 | $2K | |
| 90715 | 455 | 440 | $1K | |
| 90707 | 107 | 101 | $1K | |
| 90620 | 119 | 113 | $901.30 | |
| 90732 | 13 | 13 | $389.25 | |
| 90647 | 151 | 147 | $91.21 | |
| 90633 | 75 | 72 | $46.51 | |
| 90696 | 35 | 35 | $0.02 | |
| 91300 | 2,318 | 2,180 | $0.00 | |
| 90714 | 15 | 14 | $0.00 | |
| 90460 | 27 | 27 | $0.00 | |
| 91301 | 1,040 | 1,034 | $0.00 | |
| G0008 | Admin influenza virus vac | 434 | 386 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 189 | 143 | $0.00 |