NPI: 1952977407 · JACKSONVILLE, FL 32225 · 207ZP0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 19 | $3.24 |
| 2022 | 553 | $1K |
| 2023 | 3,297 | $4K |
| 2024 | 2,535 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87426 | 462 | 432 | $3K | |
| 87400 | 1,176 | 721 | $1K | |
| 81025 | 769 | 726 | $1K | |
| 87804 | 86 | 81 | $1K | |
| 87880 | 717 | 669 | $943.64 | |
| 80053 | 463 | 444 | $878.40 | |
| 87635 | 107 | 99 | $670.76 | |
| 85027 | 688 | 652 | $291.17 | |
| 81003 | 1,107 | 1,043 | $251.15 | |
| 87070 | 601 | 553 | $185.92 | |
| 80048 | 40 | 39 | $55.33 | |
| 83690 | 107 | 98 | $49.61 | |
| 87088 | 41 | 38 | $43.28 | |
| 87169 | 14 | 14 | $26.69 | |
| 84484 | 12 | 12 | $18.32 | |
| 87210 | 14 | 14 | $3.50 |