NPI: 1093138406 · SAN ANTONIO, PR 00690 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $93.44 |
| 2024 | 3,122 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 84443 | 278 | 253 | $5K | |
| 80061 | 308 | 279 | $4K | |
| 80053 | 313 | 281 | $4K | |
| 85025 | 435 | 377 | $3K | |
| 83036 | 201 | 182 | $2K | |
| 82306 | 62 | 58 | $2K | |
| 82274 | 80 | 75 | $1K | |
| 82607 | 72 | 71 | $1K | |
| 81001 | 338 | 305 | $1K | |
| 36415 | 588 | 488 | $1K | |
| 84439 | 82 | 79 | $780.00 | |
| 82043 | 120 | 119 | $726.18 | |
| 82570 | 122 | 121 | $661.04 | |
| 80048 | 62 | 56 | $549.40 | |
| 84153 | 17 | 15 | $292.41 | |
| 86687 | 26 | 12 | $236.74 | |
| 87186 | 12 | 12 | $130.35 | |
| P9604 | One-way allow prorated trip | 20 | 14 | $0.00 |