NPI: 1922596923 · TSE BONITO, NM 87305 · 253Z00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,057 | $364K |
| 2020 | 4,749 | $1.39M |
| 2021 | 5,867 | $1.69M |
| 2022 | 5,969 | $2.13M |
| 2023 | 5,151 | $2.79M |
| 2024 | 7,908 | $2.81M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5125 | Attendant care service /15m | 13,985 | 2,881 | $9.69M |
| S0215 | Nonemerg transp mileage | 6,474 | 2,705 | $1.33M |
| A0120 | Noner transport mini-bus | 6,469 | 2,704 | $89K |
| T2007 | Non-emer transport wait time | 3,693 | 1,989 | $57K |
| S0209 | Wc van mileage per mi | 40 | 18 | $9K |
| A0130 | Noner transport wheelch van | 40 | 18 | $952.38 |