NPI: 1932585270 · ISABELA, PR 00662 · 302R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,472 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 1158F | 132 | 125 | $302.80 | |
| 1157F | 131 | 123 | $298.88 | |
| 99213 | 141 | 129 | $234.15 | |
| G0008 | Admin influenza virus vac | 14 | 13 | $201.63 |
| 90656 | 14 | 13 | $151.74 | |
| 3078F | 120 | 117 | $100.00 | |
| 3074F | 114 | 112 | $90.00 | |
| 99211 | 174 | 147 | $77.85 | |
| 99212 | 88 | 72 | $69.14 | |
| 2022F | 13 | 12 | $0.00 | |
| 1159F | 12 | 12 | $0.00 | |
| 4035F | 17 | 13 | $0.00 | |
| 3017F | 14 | 13 | $0.00 | |
| 3008F | 110 | 107 | $0.00 | |
| 4010F | 52 | 50 | $0.00 | |
| 99214 | 51 | 51 | $0.00 | |
| 1125F | 105 | 95 | $0.00 | |
| 1170F | 111 | 105 | $0.00 | |
| 3061F | 13 | 13 | $0.00 | |
| 1126F | 29 | 29 | $0.00 | |
| 1030F | 17 | 13 | $0.00 |