NPI: 1902883242 · ISABELA, PR 00662 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 849 | $528.08 |
| 2019 | 34 | $303.28 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90688 | 29 | 29 | $517.36 | |
| 1158F | 58 | 55 | $88.00 | |
| 1157F | 52 | 49 | $76.00 | |
| 3078F | 79 | 61 | $70.00 | |
| 3074F | 35 | 27 | $50.00 | |
| 3075F | 18 | 13 | $18.00 | |
| 3079F | 17 | 13 | $12.00 | |
| 1160F | 94 | 88 | $0.00 | |
| 1159F | 94 | 88 | $0.00 | |
| 3725F | 50 | 47 | $0.00 | |
| 1170F | 54 | 51 | $0.00 | |
| 99213 | 187 | 145 | $0.00 | |
| 1125F | 22 | 22 | $0.00 | |
| 4010F | 14 | 14 | $0.00 | |
| G0008 | Admin influenza virus vac | 29 | 29 | $0.00 |
| 3008F | 51 | 49 | $0.00 |