NPI: 1093730053 · ELSA, TX 78543 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 713 | $0.00 |
| 2021 | 4,761 | $21K |
| 2022 | 1,944 | $14K |
| 2023 | 1,491 | $0.00 |
| 2024 | 490 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 721 | 76 | $35K | |
| 82310 | 649 | 540 | $0.00 | |
| 84100 | 445 | 329 | $0.00 | |
| 82565 | 434 | 432 | $0.00 | |
| 84155 | 311 | 310 | $0.00 | |
| 84466 | 310 | 296 | $0.00 | |
| 83540 | 499 | 462 | $0.00 | |
| 83970 | 193 | 186 | $0.00 | |
| 85014 | 96 | 73 | $0.00 | |
| 82108 | 45 | 45 | $0.00 | |
| 84520 | 343 | 161 | $0.00 | |
| 85018 | 924 | 525 | $0.00 | |
| 82728 | 516 | 501 | $0.00 | |
| 82040 | 482 | 428 | $0.00 | |
| A4657 | Syringe w/wo needle | 1,769 | 273 | $0.00 |
| 80051 | 442 | 440 | $0.00 | |
| 87340 | 459 | 451 | $0.00 | |
| 84075 | 566 | 557 | $0.00 | |
| 82607 | 26 | 25 | $0.00 | |
| 83735 | 13 | 12 | $0.00 | |
| 85025 | 72 | 72 | $0.00 | |
| 82306 | 58 | 57 | $0.00 | |
| 82746 | 26 | 25 | $0.00 |