NPI: 1457764417 · TAMUNING, GU 96913 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,751 | $385K |
| 2022 | 5,602 | $598K |
| 2023 | 4,818 | $457K |
| 2024 | 3,299 | $294K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2940 | 1,231 | 834 | $391K | |
| D2150 | 1,276 | 1,090 | $200K | |
| D0150 | 2,015 | 2,009 | $148K | |
| D2930 | 347 | 298 | $136K | |
| D1120 | 2,140 | 2,130 | $124K | |
| D7140 | 487 | 454 | $113K | |
| D7210 | 371 | 348 | $90K | |
| D0230 | 1,950 | 1,924 | $80K | |
| D4220 | 183 | 153 | $67K | |
| D0210 | 811 | 808 | $58K | |
| D0140 | 832 | 827 | $54K | |
| D0220 | 2,528 | 2,495 | $37K | |
| D2160 | 238 | 203 | $36K | |
| D2140 | 295 | 256 | $34K | |
| D2950 | 168 | 154 | $31K | |
| D1203 | 1,546 | 1,540 | $30K | |
| D0120 | 727 | 725 | $30K | |
| D1351 | 280 | 245 | $26K | |
| D9230 | 590 | 545 | $20K | |
| D2335 | 30 | 25 | $9K | |
| D1110 | 157 | 156 | $7K | |
| D0274 | 212 | 212 | $7K | |
| D1510 | 13 | 12 | $3K | |
| D0272 | 30 | 30 | $750.00 | |
| D3120 | 13 | 12 | $602.00 |