NPI: 1013525286 · RICHARDSON, TX 75080 · 246RM2200X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,035 | $1K |
| 2024 | 2,111 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87798 | 238 | 236 | $3K | |
| 81185 | 61 | 61 | $2K | |
| 81321 | 70 | 69 | $916.70 | |
| 87481 | 237 | 235 | $756.54 | |
| 81309 | 61 | 61 | $527.51 | |
| 81189 | 61 | 61 | $527.51 | |
| 81286 | 25 | 25 | $258.18 | |
| 87653 | 237 | 235 | $241.43 | |
| 87640 | 238 | 236 | $241.43 | |
| 87651 | 238 | 236 | $241.43 | |
| 81192 | 27 | 27 | $194.76 | |
| 81191 | 27 | 27 | $194.76 | |
| 81339 | 12 | 12 | $181.50 | |
| 81279 | 12 | 12 | $181.50 | |
| 87631 | 49 | 49 | $139.78 | |
| 81256 | 61 | 61 | $130.00 | |
| 81171 | 25 | 25 | $128.73 | |
| 81312 | 25 | 25 | $128.70 | |
| 81329 | 25 | 25 | $128.70 | |
| 81271 | 25 | 25 | $128.70 | |
| 81232 | 25 | 25 | $123.17 | |
| 87502 | 49 | 49 | $93.88 | |
| 87634 | 48 | 48 | $68.80 | |
| 81243 | 25 | 25 | $53.58 | |
| 86413 | 48 | 48 | $50.40 | |
| 87556 | 48 | 48 | $40.85 | |
| 81260 | 25 | 25 | $36.92 | |
| 87496 | 49 | 49 | $34.39 | |
| 87581 | 49 | 49 | $34.39 | |
| 87541 | 49 | 49 | $34.39 | |
| 87498 | 49 | 49 | $34.39 | |
| 87486 | 49 | 49 | $34.39 | |
| 87532 | 49 | 49 | $34.39 | |
| 87503 | 49 | 49 | $28.64 | |
| 82306 | 36 | 34 | $24.86 | |
| 80061 | 87 | 83 | $11.25 | |
| 83036 | 37 | 35 | $8.16 | |
| 81003 | 13 | 12 | $0.00 | |
| 87641 | 12 | 12 | $0.00 | |
| 81249 | 19 | 19 | $0.00 | |
| 81291 | 13 | 13 | $0.00 | |
| 81175 | 13 | 13 | $0.00 | |
| 87491 | 12 | 12 | $0.00 | |
| 82652 | 36 | 36 | $0.00 | |
| 84443 | 94 | 89 | $0.00 | |
| 87591 | 12 | 12 | $0.00 | |
| 80053 | 104 | 98 | $0.00 | |
| 87500 | 12 | 12 | $0.00 | |
| 81255 | 13 | 13 | $0.00 | |
| 81325 | 13 | 13 | $0.00 | |
| 81236 | 13 | 13 | $0.00 | |
| 81200 | 13 | 13 | $0.00 | |
| 81302 | 37 | 37 | $0.00 | |
| 85025 | 100 | 93 | $0.00 | |
| 81251 | 13 | 13 | $0.00 | |
| P9603 | One-way allow prorated miles | 15 | 14 | $0.00 |
| 81001 | 34 | 34 | $0.00 | |
| 83021 | 30 | 30 | $0.00 |