NPI: 1083059505 · IRVING, TX 75061 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 4,067 | $82K |
| 2021 | 22,073 | $428K |
| 2022 | 24,318 | $539K |
| 2023 | 26,828 | $585K |
| 2024 | 18,774 | $423K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 12,427 | 11,099 | $572K | |
| 99215 | Prolong outpt/office vis | 3,644 | 3,507 | $253K |
| 99392 | 3,285 | 3,184 | $245K | |
| 99393 | 2,558 | 2,502 | $204K | |
| 90460 | 16,089 | 7,103 | $177K | |
| 99213 | 5,019 | 4,760 | $160K | |
| 99391 | 1,463 | 1,409 | $107K | |
| 99394 | 1,192 | 1,175 | $105K | |
| 96110 | 6,336 | 4,957 | $47K | |
| 87804 | 2,688 | 1,299 | $36K | |
| 92587 | 4,767 | 4,661 | $32K | |
| 87880 | 1,621 | 1,566 | $24K | |
| 90461 | 5,994 | 3,141 | $14K | |
| 87807 | 1,183 | 1,087 | $13K | |
| 96372 | 937 | 891 | $11K | |
| 83655 | 1,012 | 970 | $10K | |
| 87811 | 245 | 236 | $9K | |
| 99204 | 104 | 104 | $8K | |
| 99212 | 568 | 543 | $8K | |
| 0001A | 174 | 169 | $5K | |
| 99203 | 82 | 82 | $4K | |
| 0002A | 69 | 68 | $2K | |
| 99050 | 127 | 126 | $2K | |
| 94664 | 137 | 136 | $1K | |
| 87502 | 24 | 17 | $1K | |
| 99383 | 14 | 14 | $1K | |
| 99382 | 12 | 12 | $1K | |
| 99211 | 129 | 128 | $880.36 | |
| 94640 | 409 | 395 | $673.88 | |
| 87634 | 15 | 15 | $589.70 | |
| 88738 | 243 | 234 | $518.00 | |
| 87651 | 22 | 14 | $458.50 | |
| J1100 | Dexamethasone sodium phos | 910 | 863 | $180.24 |
| 90670 | 1,431 | 1,400 | $165.33 | |
| 96127 | 326 | 322 | $66.50 | |
| 99188 | 13 | 13 | $63.00 | |
| 97170 | 12 | 12 | $50.00 | |
| 81003 | 17 | 16 | $32.13 | |
| 36415 | 1,102 | 1,078 | $17.53 | |
| 90677 | 486 | 482 | $12.33 | |
| J7613 | Albuterol non-comp unit | 299 | 283 | $11.44 |
| 99173 | 5,330 | 5,197 | $8.75 | |
| 90686 | 3,292 | 3,194 | $6.02 | |
| 90621 | 874 | 872 | $0.53 | |
| 90651 | 820 | 813 | $0.30 | |
| 91300 | 273 | 258 | $0.25 | |
| 90734 | 314 | 308 | $0.18 | |
| 90656 | 352 | 350 | $0.03 | |
| 90648 | 1,330 | 1,310 | $0.01 | |
| 90710 | 438 | 420 | $0.00 | |
| 90700 | 327 | 316 | $0.00 | |
| 90633 | 1,179 | 1,146 | $0.00 | |
| 90707 | 273 | 272 | $0.00 | |
| 90715 | 57 | 57 | $0.00 | |
| 90680 | 883 | 867 | $0.00 | |
| 90723 | 559 | 552 | $0.00 | |
| 36416 | 1,669 | 1,578 | $0.00 | |
| 90716 | 299 | 298 | $0.00 | |
| 90696 | 275 | 274 | $0.00 | |
| 90698 | 233 | 226 | $0.00 | |
| 90744 | 44 | 44 | $0.00 | |
| 90620 | 54 | 54 | $0.00 |