NPI: 1740761568 · TOA ALTA, PR 00953 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 26 | $223.44 |
| 2021 | 10,078 | $128K |
| 2022 | 4,515 | $43K |
| 2023 | 2,972 | $47K |
| 2024 | 2,430 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 4,337 | 3,617 | $43K | |
| 90472 | 2,476 | 2,077 | $36K | |
| 0002A | 821 | 813 | $30K | |
| 0001A | 882 | 874 | $26K | |
| 0004A | 451 | 406 | $15K | |
| 0064A | 349 | 308 | $12K | |
| 0071A | 343 | 306 | $11K | |
| 90651 | 807 | 703 | $11K | |
| 0012A | 270 | 266 | $10K | |
| 0011A | 345 | 341 | $10K | |
| 0072A | 261 | 257 | $10K | |
| 90670 | 554 | 479 | $7K | |
| 90716 | 594 | 508 | $5K | |
| 90677 | 128 | 89 | $4K | |
| 90707 | 477 | 407 | $3K | |
| 0054A | 335 | 303 | $2K | |
| 0003A | 39 | 39 | $2K | |
| 91307 | 634 | 511 | $2K | |
| 0124A | 60 | 41 | $1K | |
| 90734 | 377 | 321 | $1K | |
| 90686 | 789 | 725 | $1K | |
| 90633 | 174 | 164 | $831.26 | |
| 90696 | 173 | 128 | $481.26 | |
| 90647 | 125 | 97 | $127.33 | |
| 90656 | 124 | 69 | $119.21 | |
| 90715 | 167 | 141 | $112.00 | |
| 90700 | 67 | 62 | $44.96 | |
| 90648 | 22 | 20 | $12.00 | |
| 90655 | 26 | 26 | $8.00 | |
| 90680 | 12 | 12 | $4.00 | |
| 90688 | 30 | 30 | $4.00 | |
| 91306 | 359 | 318 | $0.25 | |
| 91300 | 2,508 | 2,325 | $0.03 | |
| 90621 | 24 | 24 | $0.00 | |
| 91312 | 60 | 41 | $0.00 | |
| 91305 | 71 | 71 | $0.00 | |
| 91301 | 684 | 671 | $0.00 | |
| 90619 | 66 | 65 | $0.00 |