NPI: 1033591706 · SAN ANTONIO, TX 78203 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,079 | $12K |
| 2022 | 875 | $7K |
| 2023 | 811 | $6K |
| 2024 | 175 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | 853 | 693 | $10K | |
| 0001A | 230 | 225 | $5K | |
| 0002A | 161 | 155 | $3K | |
| 0071A | 94 | 92 | $3K | |
| 99382 | 40 | 31 | $3K | |
| 0072A | 33 | 32 | $718.00 | |
| M0201 | Pne flu hepb cov home admin | 78 | 74 | $555.84 |
| 0004A | 12 | 12 | $438.00 | |
| 90461 | 133 | 99 | $101.92 | |
| 90619 | 54 | 51 | $0.04 | |
| 90686 | 482 | 478 | $0.04 | |
| 91300 | 445 | 407 | $0.00 | |
| 90715 | 69 | 65 | $0.00 | |
| 90734 | 14 | 14 | $0.00 | |
| 90656 | 67 | 67 | $0.00 | |
| 91307 | 156 | 153 | $0.00 | |
| 90651 | 19 | 19 | $0.00 |