NPI: 1104590330 · LINDALE, TX 75771 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 42 | $248.68 |
| 2022 | 5,798 | $88K |
| 2023 | 3,740 | $40K |
| 2024 | 899 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | 2,361 | 2,213 | $48K | |
| 99213 | 1,557 | 1,420 | $20K | |
| 99204 | 357 | 331 | $16K | |
| 99214 | 691 | 638 | $11K | |
| 87426 | 473 | 452 | $11K | |
| 87804 | 926 | 476 | $7K | |
| 87880 | 773 | 703 | $5K | |
| 87430 | 1,080 | 1,025 | $4K | |
| 99202 | 111 | 109 | $4K | |
| 87650 | 110 | 109 | $2K | |
| 87637 | 40 | 34 | $2K | |
| 87807 | 95 | 95 | $833.80 | |
| 87400 | 348 | 185 | $477.37 | |
| 96372 | 43 | 41 | $446.59 | |
| S9088 | Services provided in urgent | 717 | 604 | $437.50 |
| 71046 | 14 | 14 | $319.57 | |
| 99212 | 12 | 12 | $289.40 | |
| 81003 | 32 | 30 | $47.40 | |
| 94760 | 242 | 224 | $15.68 | |
| J8499 | Oral prescrip drug non chemo | 151 | 151 | $7.00 |
| A4244 | Alcohol or peroxide per pint | 13 | 13 | $3.40 |
| 0241U | 97 | 86 | $0.00 | |
| 87428 | 15 | 13 | $0.00 | |
| 99072 | 205 | 187 | $0.00 | |
| 87420 | 16 | 12 | $0.00 |