NPI: 1013300599 · SAN ANTONIO, TX 78229 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 53 | $615.65 |
| 2021 | 2,077 | $32K |
| 2022 | 3,603 | $49K |
| 2023 | 1,690 | $24K |
| 2024 | 3,623 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 846 | 836 | $27K | |
| D8670 | 442 | 412 | $25K | |
| D0120 | 947 | 938 | $24K | |
| D1208 | 1,510 | 1,490 | $19K | |
| D0220 | 1,418 | 1,379 | $15K | |
| D0230 | 1,129 | 842 | $11K | |
| D0160 | 671 | 659 | $9K | |
| D0460 | 826 | 771 | $9K | |
| D2950 | 175 | 162 | $7K | |
| D9248 | 65 | 57 | $5K | |
| D2930 | 46 | 12 | $5K | |
| D0272 | 280 | 274 | $5K | |
| D1110 | 77 | 74 | $4K | |
| D0150 | 100 | 90 | $3K | |
| D0140 | 113 | 112 | $2K | |
| D0270 | 349 | 341 | $2K | |
| D0274 | 69 | 67 | $2K | |
| D9230 | 127 | 120 | $1K | |
| D9310 | 12 | 12 | $87.48 | |
| D0603 | 1,815 | 1,802 | $0.00 | |
| D0602 | 12 | 12 | $0.00 | |
| D0364 | 17 | 17 | $0.00 |