CDT GMSP INC
NPI: 1861629628
· BAYAMON, PR 00961
· Primary Care Clinic/Center
· NPI assigned 06/18/2009
$242K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ZAYAS-TORO, ILIA
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,020 |
4,710 |
$48K |
| 90670 |
|
330 |
278 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
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 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$0.00 |
| 91301 |
|
1,040 |
1,034 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
434 |
386 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
189 |
143 |
$0.00 |