NPI: 1134320336 · BIG SPRING, TX 79720 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 692 | $5K |
| 2019 | 1,515 | $5K |
| 2020 | 3,664 | $165K |
| 2021 | 16,094 | $642K |
| 2022 | 17,971 | $676K |
| 2023 | 7,823 | $344K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 17,646 | 14,591 | $1.33M |
| 99392 | 1,452 | 1,408 | $122K | |
| 99393 | 1,267 | 1,247 | $100K | |
| 99391 | 1,199 | 1,111 | $97K | |
| 99394 | 1,023 | 1,015 | $82K | |
| 87426 | 1,367 | 1,343 | $35K | |
| 87880 | 1,940 | 1,889 | $29K | |
| 90686 | 664 | 662 | $6K | |
| 87807 | 351 | 349 | $6K | |
| 87804 | 622 | 313 | $5K | |
| 99000 | 237 | 232 | $4K | |
| 81002 | 224 | 220 | $4K | |
| 90672 | 239 | 238 | $3K | |
| 90651 | 547 | 547 | $2K | |
| 90619 | 35 | 35 | $1K | |
| 90697 | 87 | 85 | $1K | |
| 99381 | 15 | 15 | $949.41 | |
| 87637 | 105 | 105 | $649.32 | |
| 88720 | 20 | 13 | $611.43 | |
| 81025 | 37 | 37 | $549.76 | |
| 90633 | 643 | 642 | $546.36 | |
| 91307 | 16 | 16 | $437.60 | |
| 90698 | 729 | 721 | $435.18 | |
| 90700 | 116 | 115 | $265.03 | |
| 90621 | 65 | 65 | $264.40 | |
| J0696 | Ceftriaxone sodium injection | 27 | 27 | $185.52 |
| 90734 | 304 | 304 | $176.88 | |
| 87276 | 612 | 596 | $112.68 | |
| 90460 | 7,947 | 3,861 | $110.06 | |
| 90710 | 296 | 296 | $89.36 | |
| 90648 | 67 | 67 | $89.36 | |
| 90744 | 528 | 520 | $89.36 | |
| 90715 | 152 | 152 | $87.52 | |
| 90680 | 643 | 635 | $86.31 | |
| 87275 | 612 | 596 | $14.71 | |
| 90461 | 4,179 | 2,200 | $7.89 | |
| 90670 | 1,201 | 1,192 | $0.00 | |
| 90685 | 46 | 45 | $0.00 | |
| 99173 | 62 | 61 | $0.00 | |
| 90681 | 12 | 12 | $0.00 | |
| 36416 | 75 | 74 | $0.00 | |
| 0240U | 135 | 134 | $0.00 | |
| 90696 | 140 | 140 | $0.00 | |
| 99441 | 14 | 14 | $0.00 | |
| 96372 | 12 | 12 | $0.00 | |
| 36415 | 49 | 32 | $0.00 |