NPI: 1003127317 · GARLAND, TX 75041 · 363A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,059 | $11K |
| 2022 | 3,979 | $44K |
| 2023 | 1,457 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,476 | 1,202 | $48K | |
| 96372 | 477 | 358 | $5K | |
| 87426 | 349 | 311 | $4K | |
| 87428 | 122 | 122 | $3K | |
| 99203 | 53 | 53 | $3K | |
| 85027 | 901 | 846 | $2K | |
| 99394 | 19 | 19 | $2K | |
| 87804 | 106 | 103 | $1K | |
| 90471 | 56 | 54 | $486.44 | |
| 87880 | 39 | 39 | $238.65 | |
| J0696 | Ceftriaxone sodium injection | 350 | 301 | $176.54 |
| 81003 | 26 | 25 | $22.00 | |
| 36416 | 803 | 753 | $0.00 | |
| 36415 | 52 | 52 | $0.00 | |
| 90686 | 12 | 12 | $0.00 | |
| 99051 | 517 | 469 | $0.00 | |
| 99072 | 1,137 | 999 | $0.00 |