NPI: 1174095624 · PUEBLO, CO 81005 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,641 | $81K |
| 2020 | 1,409 | $52K |
| 2021 | 1,706 | $83K |
| 2022 | 1,670 | $62K |
| 2023 | 1,591 | $69K |
| 2024 | 1,087 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 2,676 | 2,648 | $132K | |
| D0120 | 3,262 | 3,226 | $82K | |
| D2392 | 541 | 413 | $74K | |
| D0274 | 1,163 | 1,156 | $36K | |
| D2393 | 203 | 169 | $33K | |
| D2740 | 28 | 24 | $18K | |
| D0220 | 724 | 694 | $9K | |
| D1206 | 287 | 286 | $7K | |
| D2394 | 14 | 12 | $3K | |
| D7140 | 20 | 12 | $2K | |
| D0150 | 47 | 47 | $2K | |
| D1208 | 102 | 102 | $1K | |
| D4910 | 12 | 12 | $887.88 | |
| D4346 | 12 | 12 | $667.64 | |
| D1120 | 13 | 13 | $452.07 |