NPI: 1376870253
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,068 | $25K |
| 2023 | 1,555 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0013A | 328 | 299 | $8K | |
| 0012A | 259 | 254 | $7K | |
| 0011A | 243 | 238 | $6K | |
| 0073A | 72 | 68 | $2K | |
| 0072A | 83 | 83 | $2K | |
| 0051A | 62 | 61 | $2K | |
| 0071A | 82 | 82 | $2K | |
| 0052A | 53 | 53 | $2K | |
| 0053A | 47 | 46 | $2K | |
| 0003A | 25 | 24 | $956.00 | |
| 0002A | 16 | 16 | $614.00 | |
| 0001A | 16 | 16 | $614.00 | |
| 0093A | 109 | 108 | $446.30 | |
| 0092A | 104 | 104 | $404.30 | |
| 0091A | 94 | 94 | $335.60 | |
| 0004A | 18 | 18 | $268.00 | |
| 0082A | 23 | 17 | $152.00 | |
| 0081A | 23 | 17 | $152.00 | |
| 91307 | 251 | 205 | $0.07 | |
| 91308 | 45 | 32 | $0.03 | |
| 91300 | 77 | 61 | $0.00 | |
| 91313 | 148 | 109 | $0.00 | |
| 91309 | 394 | 308 | $0.00 | |
| 91301 | 826 | 640 | $0.00 | |
| 91305 | 211 | 149 | $0.00 | |
| 0074A | 14 | 14 | $0.00 |