NPI: 1093251399 · DALLAS, TX 75247 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $112.28 |
| 2020 | 369 | $17K |
| 2021 | 1,853 | $95K |
| 2022 | 1,776 | $112K |
| 2023 | 2,165 | $150K |
| 2024 | 1,791 | $142K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 2,569 | 2,403 | $199K |
| 99091 | 1,161 | 1,117 | $133K | |
| 99215 | Prolong outpt/office vis | 948 | 811 | $55K |
| 95816 | 180 | 179 | $38K | |
| 93923 | 297 | 236 | $21K | |
| 99214 | 204 | 189 | $8K | |
| 99337 | 193 | 181 | $8K | |
| 95921 | 204 | 175 | $7K | |
| 95930 | 177 | 177 | $7K | |
| 93922 | 186 | 185 | $6K | |
| 95923 | 270 | 237 | $6K | |
| 92653 | 157 | 157 | $5K | |
| 95004 | 17 | 16 | $4K | |
| 95165 | 13 | 13 | $4K | |
| 95943 | 59 | 59 | $3K | |
| 96132 | 146 | 146 | $3K | |
| 99345 | Prolong home eval add 15m | 25 | 25 | $2K |
| 99396 | 43 | 43 | $2K | |
| 92585 | 21 | 21 | $2K | |
| 92650 | 151 | 151 | $1K | |
| 93040 | 163 | 163 | $1K | |
| 99375 | 113 | 109 | $177.36 | |
| 95957 | 128 | 128 | $145.95 | |
| 99344 | 14 | 13 | $112.28 | |
| 96138 | 185 | 185 | $69.92 | |
| 92548 | 138 | 124 | $0.00 | |
| 96139 | 172 | 172 | $0.00 | |
| 99483 | Prolong outpt/office vis | 34 | 34 | $0.00 |