NPI: 1093168049 · JASPER, TX 75951 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 206 | $4K |
| 2020 | 1,133 | $20K |
| 2021 | 4,011 | $79K |
| 2022 | 3,247 | $81K |
| 2023 | 2,240 | $69K |
| 2024 | 2,308 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 3,932 | 3,518 | $138K | |
| 99214 | 1,002 | 889 | $50K | |
| 90460 | 2,598 | 966 | $30K | |
| 99391 | 290 | 279 | $23K | |
| 87426 | 475 | 413 | $18K | |
| S8301 | Infect control supplies nos | 1,614 | 1,378 | $17K |
| 99392 | 198 | 196 | $16K | |
| 87811 | 265 | 238 | $11K | |
| 87880 | 671 | 592 | $9K | |
| 87804 | 630 | 291 | $9K | |
| 87428 | 170 | 163 | $5K | |
| 90461 | 573 | 492 | $3K | |
| 87077 | 122 | 112 | $498.51 | |
| 99000 | 41 | 40 | $403.51 | |
| 99001 | 109 | 81 | $396.01 | |
| 96110 | 20 | 15 | $179.16 | |
| 87086 | 15 | 13 | $99.02 | |
| 81002 | 14 | 12 | $34.88 | |
| 94760 | 154 | 141 | $27.19 | |
| 90671 | 63 | 63 | $0.00 | |
| 90670 | 33 | 32 | $0.00 | |
| 90633 | 13 | 13 | $0.00 | |
| 90686 | 41 | 40 | $0.00 | |
| 90680 | 28 | 28 | $0.00 | |
| G8708 | Antibiotic not pres | 58 | 41 | $0.00 |
| 90698 | 16 | 16 | $0.00 |