| V652P3916 | 0065220030... | 0 | | Q511: Ophthalmology Services | $8,475.00 | 2003 | 2097785 |
| V652P3860 | 0065220030... | 0 | | Q999: Other Medical Services | $19,474.00 | 2003 | 2149229 |
| V652P3860 | 0065220030... | 0 | | Q999: Other Medical Services | $19,474.00 | 2003 | 2165038 |
| V652P3920 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $3,500.00 | 2003 | 2389872 |
| V652P3916 | 0065220030... | 0 | | Q511: Ophthalmology Services | $1,350.00 | 2003 | 2494385 |
| V652P3916 | 0065220030... | 0 | | Q511: Ophthalmology Services | $3,444.00 | 2003 | 2523944 |
| V652P3916 | 0065220030... | 0 | | Q511: Ophthalmology Services | $4,919.00 | 2003 | 2550867 |
| V652P3921 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $29,536.00 | 2003 | 2601602 |
| V652P3921 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $10,645.00 | 2003 | 2629826 |
| V652P3920 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $5,950.00 | 2003 | 2658074 |
| V652P3921 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $6,780.00 | 2003 | 2664924 |
| V652P3921 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $30,861.00 | 2003 | 2692756 |
| V652P3921 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $27,375.00 | 2003 | 2718456 |
| V652P3921 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $49,569.00 | 2003 | 2778780 |
| V652P3921 | 0065220030... | 0 | | Q518: Physical Medicine & Rehabilitation | $19,777.00 | 2003 | 2807336 |
| V652P3916 | 0065220030... | 0 | | Q511: Ophthalmology Services | $11,244.00 | 2003 | 3033849 |
| V652P3916 | 0065220030... | 0 | | Q511: Ophthalmology Services | $19,474.00 | 2003 | 3037839 |
| V652P3916 | 0065220030... | 0 | | Q511: Ophthalmology Services | $4,794.00 | 2003 | 3174350 |
| V652P3916 | 0065220030... | 0 | | Q511: Ophthalmology Services | $1,856.00 | 2003 | 3202861 |
| V652P3920 | 0 | | Q518: Physical Medicine & Rehabilitation | $0.00 | 2003 | 3214566 |
