NPI: 1457337651 · HUMACAO, PR 00791 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24,805 | $190K |
| 2019 | 21,705 | $200K |
| 2020 | 803 | $5K |
| 2021 | 341 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 84443 | 4,605 | 3,800 | $66K | |
| 80053 | 5,687 | 4,441 | $50K | |
| 80061 | 3,753 | 3,157 | $41K | |
| 85025 | 6,701 | 5,071 | $39K | |
| 82306 | 1,193 | 1,043 | $23K | |
| 80074 | 685 | 580 | $21K | |
| 81000 | 5,574 | 4,398 | $14K | |
| 87088 | 1,848 | 1,528 | $12K | |
| 83036 | 1,295 | 1,147 | $9K | |
| 84439 | 1,237 | 1,084 | $8K | |
| 82951 | 756 | 654 | $7K | |
| 82274 | 617 | 568 | $6K | |
| 87582 | 141 | 124 | $6K | |
| 84146 | 305 | 263 | $5K | |
| 82043 | 1,271 | 1,121 | $5K | |
| 82607 | 466 | 414 | $5K | |
| 87491 | 158 | 121 | $5K | |
| 84403 | 214 | 176 | $5K | |
| 86592 | 1,388 | 1,203 | $5K | |
| 80048 | 692 | 619 | $4K | |
| 84479 | 1,266 | 1,101 | $4K | |
| 84153 | 358 | 311 | $4K | |
| 84436 | 703 | 615 | $4K | |
| 83001 | 220 | 199 | $4K | |
| 83002 | 202 | 183 | $3K | |
| 87276 | 356 | 336 | $3K | |
| 87275 | 356 | 336 | $3K | |
| 87591 | 91 | 67 | $3K | |
| 82672 | 131 | 110 | $3K | |
| 85651 | 776 | 692 | $2K | |
| 86701 | 290 | 251 | $2K | |
| 84402 | 96 | 78 | $2K | |
| 86038 | 227 | 204 | $2K | |
| 82670 | 76 | 66 | $2K | |
| 86200 | 176 | 146 | $2K | |
| 82746 | 173 | 145 | $2K | |
| 82533 | 97 | 76 | $1K | |
| 82378 | 65 | 54 | $1K | |
| 86430 | 275 | 241 | $1K | |
| 82728 | 116 | 100 | $1K | |
| 82952 | 378 | 346 | $955.54 | |
| 82575 | 128 | 111 | $943.48 | |
| 83970 | 23 | 13 | $828.67 | |
| 84550 | 215 | 189 | $753.88 | |
| 86644 | 55 | 47 | $675.91 | |
| 87177 | 140 | 131 | $593.43 | |
| 83690 | 87 | 82 | $536.57 | |
| 86645 | 37 | 30 | $526.22 | |
| 83540 | 127 | 112 | $520.66 | |
| 85610 | 161 | 122 | $478.89 | |
| 85730 | 147 | 118 | $473.27 | |
| 86695 | 41 | 31 | $469.88 | |
| 82677 | 20 | 13 | $431.12 | |
| 86308 | 91 | 83 | $429.12 | |
| 86140 | 50 | 42 | $213.80 | |
| 86703 | 16 | 13 | $179.20 | |
| 82947 | 29 | 26 | $90.52 | |
| 84460 | 20 | 15 | $84.53 | |
| 84450 | 20 | 15 | $82.49 | |
| 82950 | 16 | 12 | $69.90 | |
| 36415 | 1,136 | 836 | $5.88 | |
| P9604 | One-way allow prorated trip | 81 | 73 | $0.00 |