Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA

NPI: 1942687850 · JAYUYA, PR 00664 · VA Clinic/Center · NPI assigned 04/29/2015

$2K
Total Medicaid Paid
666
Total Claims
642
Beneficiaries
10
Codes Billed
2018-02
First Month
2020-11
Last Month

Provider Details

Authorized OfficialZAMORA, WANDA (GERENTE ADMINISTRATIVO)
NPI Enumeration Date04/29/2015

Related Entities

Other providers sharing the same authorized official: ZAMORA, WANDA

ProviderCityStateTotal Paid
EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA JAYUYA PR $351K
EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA JAYUYA PR $51K
EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA JAYUYA PR $2K
EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA JAYUYA PR $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 375 $1K
2019 152 $768.00
2020 139 $330.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 440 420 $2K
90654 57 57 $0.00
90686 61 57 $0.00
90716 15 15 $0.00
90707 15 15 $0.00
90633 17 17 $0.00
90648 12 12 $0.00
90649 19 19 $0.00
90734 15 15 $0.00
90715 15 15 $0.00