NPI: 1902592082 · CARBONDALE, CO 81623 · Private Vehicle · NPI assigned 04/12/2023
| Authorized Official | BONILLA, ELMER (OWNER) |
| NPI Enumeration Date | 04/12/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 798 | $240K |
| 2024 | 977 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 1,775 | 403 | $240K |