NPI: 1083748800 · BRIDGEPORT, TX 76426 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 334 | $5K |
| 2019 | 413 | $6K |
| 2020 | 1,352 | $34K |
| 2021 | 7,045 | $220K |
| 2022 | 6,368 | $199K |
| 2023 | 4,975 | $167K |
| 2024 | 2,747 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 8,471 | 7,266 | $373K | |
| 99213 | 6,762 | 5,940 | $234K | |
| 87804 | 1,557 | 1,386 | $37K | |
| 87880 | 2,366 | 2,224 | $31K | |
| 90460 | 1,613 | 772 | $15K | |
| 99393 | 153 | 152 | $12K | |
| 99203 | 123 | 119 | $7K | |
| 96372 | 594 | 479 | $6K | |
| 99394 | 77 | 73 | $6K | |
| 99392 | 81 | 77 | $6K | |
| 74018 | 78 | 70 | $2K | |
| 90461 | 301 | 241 | $2K | |
| 99212 | 54 | 49 | $1K | |
| J3301 | Triamcinolone acet inj nos | 269 | 254 | $1K |
| 71046 | 40 | 40 | $1K | |
| J2010 | Lincomycin injection | 29 | 27 | $279.65 |
| 90686 | 130 | 128 | $243.72 | |
| 81003 | 75 | 70 | $126.63 | |
| 81001 | 56 | 52 | $121.90 | |
| 99000 | 14 | 14 | $120.00 | |
| 82570 | 27 | 24 | $102.45 | |
| 99309 | 15 | 12 | $96.09 | |
| 99308 | 81 | 81 | $0.00 | |
| 1036F | 46 | 39 | $0.00 | |
| 90688 | 19 | 19 | $0.00 | |
| 4004F | 86 | 74 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 90670 | 44 | 40 | $0.00 | |
| G8417 | Calc bmi abv up param f/u | 36 | 27 | $0.00 |
| 90710 | 12 | 12 | $0.00 | |
| 90734 | 13 | 13 | $0.00 |