Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSalud Integral En La Montana, Inc.
    Ask Trek AI about this page

    Salud Integral En La Montana, Inc. — Billing Profile & Reimbursement Data

    NPI 1316970833 · Barranquitas, PR · Federally Qualified Health Center (FQHC)

    Customize your policy alerts

    Sign up for Salud Integral En La Montana, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Salud Integral En La Montana, Inc. is a federally qualified health center (fqhc) provider located in Barranquitas, Puerto Rico. This profile covers 0 Medicare and 127 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSalud Integral En La Montana, Inc.
    Address116 Calle Barcelo
    CityBarranquitas
    StatePR
    ZIP00794
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJuly 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$989.6K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    127 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.6,130$50$324.6K
    S9088Services provided in an urgent care center (list in addition to code for service)9,230$30$258.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…40,370$1$121.1K
    97802The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…1,890$40$67.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…11,410$1$45.6K
    97803The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…1,820$20$36.3K
    99441N/A16,650$1$33.3K
    99442N/A3,410$10$23.8K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2,140$10$19.3K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.1,440$10$15.8K

    Showing 1–10 of 127

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    127 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.2930910$40$638.8K
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.17801,370$40$272.9K
    S9088Services provided in an urgent care center (list in addition to code for service)2101,850$20$98.6K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.366500220$40$79.5K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…190230510$60$61K
    99070Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…191230410$40$51.9K
    99050In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.67901,090$10$47K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.167170310$60$46.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…56280210$30$43.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…12900360$30$42.5K

    Showing 1–10 of 127

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Salud Integral En La Montana, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Salud Integral En La Montana, IncPRClinical Medical Laboratory$1.9K$3.6M
    Salud Integral En La Montana, Inc.PREmergency Care Clinic/Center$0$3.1M
    Salud Integral En La Montana, IncPREmergency Care Clinic/Center$0$2.8M
    Salud Integral En La Montana, IncPRClinical Medical Laboratory$100$2.1M
    Jesus Romero PerezPRDiagnostic Radiology Physician$8.1K$1.4M
    Salud Integral En La Montana, IncPRClinical Medical Laboratory$200$1.3M
    Salud Integral En La Montana, IncPRFederally Qualified Health Center (FQHC)$0$1.3M
    Salud Integral En La Montana, IncPRFederally Qualified Health Center (FQHC)$0$927.7K
    Julio Baez SuarezPRCardiovascular Disease Physician$0$744.8K
    Salud Integral En La Montana, IncPRClinic/Center$0$620.5K

    Nearby Providers

    Other providers in the same ZIP code as Salud Integral En La Montana, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barranquitas Ultra Sound And Mammography Center IncPRMammography Clinic/Center$0$1.4M
    Esg Group LLCPRClinical Medical Laboratory$4.2K$1.2M
    Laboratorio Clinico Emanuel ,incPRClinical Medical Laboratory$0$1.1M
    Waxali IncPRClinical Medical Laboratory$3.1K$1M
    Jose AlvaradoPRDentist$0$979.1K
    Medical Alert Ambulance Service Inc.—Land Ambulance$63.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Salud Integral En La Montana, Inc. — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico