NPI: 1871794198 · GUAYANILLA, PR 00656 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 362 | $3K |
| 2019 | 1,819 | $51K |
| 2020 | 1,467 | $35K |
| 2021 | 3,262 | $160K |
| 2022 | 9,813 | $301K |
| 2023 | 6,319 | $240K |
| 2024 | 1,964 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99051 | 8,961 | 8,368 | $515K | |
| 87426 | 5,195 | 4,700 | $166K | |
| G2023 | Specimen collect covid-19 | 5,215 | 4,717 | $66K |
| 90471 | 2,066 | 1,719 | $16K | |
| 99284 | 129 | 125 | $15K | |
| 96365 | 128 | 75 | $13K | |
| 90472 | 903 | 696 | $11K | |
| 0002A | 324 | 215 | $11K | |
| 0001A | 233 | 224 | $7K | |
| 0003A | 71 | 71 | $3K | |
| 0004A | 59 | 59 | $2K | |
| 0072A | 59 | 59 | $2K | |
| U0002 | Covid-19 lab test non-cdc | 28 | 28 | $1K |
| 86328 | 73 | 67 | $1K | |
| 71046 | 78 | 54 | $982.76 | |
| 72100 | 53 | 52 | $977.63 | |
| 90686 | 456 | 406 | $941.41 | |
| 0071A | 23 | 23 | $920.00 | |
| 36415 | 100 | 91 | $882.00 | |
| 74018 | 60 | 55 | $852.04 | |
| 73560 | 48 | 26 | $653.66 | |
| 90715 | 23 | 15 | $627.64 | |
| 96372 | 85 | 45 | $518.84 | |
| 90688 | 51 | 51 | $375.40 | |
| 72040 | 12 | 12 | $230.13 | |
| 90656 | 36 | 34 | $180.00 | |
| 71045 | 15 | 15 | $160.79 | |
| 90649 | 33 | 30 | $144.00 | |
| 90734 | 52 | 38 | $120.00 | |
| 90702 | 14 | 13 | $78.00 | |
| 90670 | 12 | 12 | $72.00 | |
| J0696 | Ceftriaxone sodium injection | 57 | 36 | $21.12 |
| J1885 | Ketorolac tromethamine inj | 18 | 17 | $10.37 |
| J1100 | Dexamethasone sodium phos | 32 | 32 | $4.80 |
| 90651 | 69 | 39 | $0.00 | |
| 91307 | 128 | 117 | $0.00 | |
| 90677 | 29 | 16 | $0.00 | |
| 90460 | 27 | 27 | $0.00 | |
| 93010 | 24 | 18 | $0.00 | |
| 90621 | 27 | 16 | $0.00 |