NPI: 1265905301 · MONTROSE, CA 91020 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,540 | $9K |
| 2020 | 356 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87633 | 82 | 82 | $4K | |
| 87798 | 141 | 117 | $1K | |
| 87581 | 96 | 95 | $1K | |
| 80074 | 66 | 66 | $554.87 | |
| 86592 | 63 | 63 | $444.18 | |
| 87631 | 194 | 192 | $425.05 | |
| 87486 | 96 | 95 | $371.81 | |
| 82746 | 30 | 30 | $289.91 | |
| 82306 | 26 | 26 | $268.41 | |
| 85025 | 88 | 88 | $263.18 | |
| 80053 | 74 | 74 | $179.63 | |
| 83036 | 74 | 74 | $165.32 | |
| 87591 | 12 | 12 | $148.06 | |
| 80076 | 12 | 12 | $108.31 | |
| 84153 | 27 | 27 | $78.20 | |
| 80061 | 52 | 52 | $66.33 | |
| 81002 | 40 | 40 | $46.46 | |
| 84443 | 63 | 63 | $38.66 | |
| 82043 | 35 | 35 | $32.62 | |
| 84481 | 18 | 18 | $30.68 | |
| 82607 | 32 | 32 | $12.00 | |
| 82728 | 27 | 27 | $10.86 | |
| 84466 | 22 | 22 | $9.91 | |
| 83540 | 24 | 24 | $5.15 | |
| P9603 | One-way allow prorated miles | 87 | 85 | $0.00 |
| 83935 | 64 | 64 | $0.00 | |
| 84436 | 13 | 13 | $0.00 | |
| 85651 | 13 | 13 | $0.00 | |
| 86140 | 14 | 14 | $0.00 | |
| 87661 | 60 | 60 | $0.00 | |
| 84480 | 13 | 13 | $0.00 | |
| 36415 | 50 | 47 | $0.00 | |
| 99000 | 39 | 39 | $0.00 | |
| 86063 | 13 | 13 | $0.00 | |
| 84479 | 13 | 13 | $0.00 | |
| 86038 | 13 | 13 | $0.00 | |
| 87491 | 12 | 12 | $0.00 | |
| 87481 | 30 | 30 | $0.00 | |
| 87653 | 30 | 30 | $0.00 | |
| 84550 | 20 | 20 | $0.00 | |
| 84439 | 18 | 18 | $0.00 |