NPI: 1124312749 · ROMA, TX 78584 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,273 | $218K |
| 2021 | 33,912 | $6.18M |
| 2022 | 41,489 | $7.16M |
| 2023 | 36,610 | $6.71M |
| 2024 | 32,038 | $6.79M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 92,530 | 71,445 | $25.06M |
| 99393 | 2,256 | 2,240 | $621K | |
| 99392 | 2,087 | 2,072 | $585K | |
| 99394 | 1,648 | 1,584 | $438K | |
| 99391 | 1,213 | 1,183 | $352K | |
| 99213 | 358 | 336 | $1K | |
| 87811 | 6,074 | 5,785 | $463.80 | |
| 96110 | 2,754 | 1,959 | $317.14 | |
| 99000 | 1,765 | 1,703 | $210.34 | |
| 90460 | 10,446 | 4,032 | $204.20 | |
| 90672 | 834 | 827 | $126.61 | |
| S8301 | Infect control supplies nos | 3,317 | 2,994 | $110.50 |
| 87804 | 1,856 | 912 | $55.60 | |
| 87880 | 1,267 | 1,230 | $13.89 | |
| 90461 | 2,727 | 2,257 | $7.84 | |
| 81002 | 509 | 491 | $2.92 | |
| 96161 | 1,193 | 1,157 | $2.25 | |
| 90648 | 739 | 737 | $0.00 | |
| 90715 | 46 | 46 | $0.00 | |
| 90633 | 366 | 365 | $0.00 | |
| 90700 | 38 | 38 | $0.00 | |
| 90734 | 201 | 200 | $0.00 | |
| 90707 | 333 | 331 | $0.00 | |
| 90655 | 34 | 33 | $0.00 | |
| 99051 | 135 | 131 | $0.00 | |
| 97802 | 1,839 | 1,826 | $0.00 | |
| 99406 | 3,223 | 3,041 | $0.00 | |
| S9451 | Exercise class | 1,839 | 1,824 | $0.00 |
| 99429 | 1,718 | 1,700 | $0.00 | |
| 90620 | 84 | 84 | $0.00 | |
| G9716 | Bmi doc onl fup not cmpltd | 1,838 | 1,825 | $0.00 |
| 85025 | 497 | 479 | $0.00 | |
| 90680 | 452 | 449 | $0.00 | |
| 90716 | 331 | 329 | $0.00 | |
| 90686 | 94 | 94 | $0.00 | |
| 90651 | 87 | 87 | $0.00 | |
| 90723 | 232 | 231 | $0.00 | |
| 90696 | 52 | 52 | $0.00 | |
| 90677 | 261 | 260 | $0.00 | |
| 87807 | 49 | 48 | $0.00 |