Clinic
Empresa Municipal Salud Integral De LA Tierra Alta
Empresa Municipal Salud Integral De LA Tierra Alta was paid $2K by Medicaid between Feb 2018 and Nov 2020, across 10 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 100% of everything it billed.
33Billing provider infoEMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA
JAYUYA, PR 00664
JAYUYA, PR 00664
33aNPI1942687850assigned 04/29/2015
33bProvider typeVA Clinic/Center
28Total paid$2K
24GClaims666
24DCodes billed10
24AFirst – last monthFeb 2018 – Nov 2020
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 375 | $1K | |
| 2019 | 152 | $768.00 | |
| 2020 | 139 | $330.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 100% | 440 | 420 | $2K |
| 90654 | 0% | 57 | 57 | $0.00 | |
| 90686 | 0% | 61 | 57 | $0.00 | |
| 90716 | 0% | 15 | 15 | $0.00 | |
| 90707 | 0% | 15 | 15 | $0.00 | |
| 90633 | 0% | 17 | 17 | $0.00 | |
| 90648 | 0% | 12 | 12 | $0.00 | |
| 90649 | 0% | 19 | 19 | $0.00 | |
| 90734 | 0% | 15 | 15 | $0.00 | |
| 90715 | 0% | 15 | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialZAMORA, WANDA (GERENTE ADMINISTRATIVO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.