CENTRO VACUNACION DR REYES CABEZA
NPI: 1962628909
· PONCE, PR 00728
· Clinic/Center
· NPI assigned 04/18/2007
$252K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,900 |
$15K |
| 2019 |
4,281 |
$17K |
| 2020 |
1,761 |
$5K |
| 2021 |
3,909 |
$49K |
| 2022 |
2,645 |
$23K |
| 2023 |
5,761 |
$127K |
| 2024 |
3,148 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,419 |
7,087 |
$58K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,376 |
3,712 |
$42K |
| 90651 |
|
1,030 |
882 |
$28K |
| 90620 |
|
1,218 |
1,027 |
$23K |
| 90670 |
|
1,153 |
991 |
$20K |
| 90733 |
|
184 |
130 |
$10K |
| 0002A |
|
253 |
248 |
$10K |
| 90686 |
|
2,766 |
2,328 |
$10K |
| 0001A |
|
243 |
238 |
$9K |
| 0012A |
|
220 |
220 |
$9K |
| 0003A |
|
174 |
173 |
$7K |
| 90716 |
|
289 |
222 |
$5K |
| 0011A |
|
216 |
215 |
$5K |
| 90715 |
|
671 |
576 |
$5K |
| 0013A |
|
82 |
81 |
$3K |
| 90707 |
|
331 |
286 |
$3K |
| 90633 |
|
417 |
350 |
$2K |
| 90656 |
|
292 |
289 |
$1K |
| 90734 |
|
707 |
662 |
$1K |
| 90461 |
|
116 |
94 |
$880.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
163 |
140 |
$688.00 |
| 90698 |
|
372 |
322 |
$340.02 |
| 90647 |
|
99 |
84 |
$250.49 |
| 90685 |
|
57 |
43 |
$212.10 |
| 90473 |
|
46 |
39 |
$130.06 |
| 90658 |
|
277 |
241 |
$48.00 |
| 90696 |
|
148 |
137 |
$40.05 |
| 90649 |
|
338 |
301 |
$28.00 |
| 90688 |
|
204 |
141 |
$22.00 |
| 90632 |
|
43 |
39 |
$20.00 |
| 90650 |
|
64 |
51 |
$12.00 |
| 90621 |
|
151 |
110 |
$8.04 |
| 90744 |
|
74 |
60 |
$0.00 |
| 90657 |
|
25 |
13 |
$0.00 |
| 90681 |
|
123 |
104 |
$0.00 |
| 90740 |
|
33 |
31 |
$0.00 |
| 90700 |
|
16 |
14 |
$0.00 |
| 90714 |
|
15 |
15 |
$0.00 |