NPI: 1134374713 · MATHIS, TX 78368 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 630 | $40K |
| 2021 | 5,808 | $344K |
| 2022 | 5,088 | $293K |
| 2023 | 6,848 | $276K |
| 2024 | 8,197 | $275K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 14,169 | 9,421 | $1.15M |
| 99393 | 364 | 360 | $30K | |
| 99394 | 358 | 354 | $29K | |
| 99392 | 106 | 98 | $9K | |
| 99213 | 748 | 616 | $4K | |
| 99381 | 333 | 265 | $2K | |
| 87426 | 351 | 326 | $1K | |
| 0002A | 12 | 12 | $480.00 | |
| 90471 | 401 | 393 | $55.00 | |
| 96160 | 880 | 722 | $10.06 | |
| S8301 | Infect control supplies nos | 892 | 754 | $2.77 |
| 92551 | 1,060 | 1,049 | $0.00 | |
| 96161 | 820 | 663 | $0.00 | |
| G0439 | Ppps, subseq visit | 976 | 965 | $0.00 |
| S0302 | Completed epsdt | 1,053 | 1,040 | $0.00 |
| 96127 | 89 | 87 | $0.00 | |
| 87428 | 259 | 244 | $0.00 | |
| 90688 | 177 | 173 | $0.00 | |
| 90660 | 45 | 45 | $0.00 | |
| G0447 | Behavior counsel obesity 15m | 710 | 705 | $0.00 |
| 90656 | 22 | 22 | $0.00 | |
| 99050 | 38 | 38 | $0.00 | |
| 99214 | 179 | 160 | $0.00 | |
| G9716 | Bmi doc onl fup not cmpltd | 68 | 67 | $0.00 |
| 96110 | 76 | 61 | $0.00 | |
| 90686 | 104 | 104 | $0.00 | |
| 90619 | 13 | 13 | $0.00 | |
| 90651 | 30 | 30 | $0.00 | |
| 91307 | 12 | 12 | $0.00 | |
| G0270 | Mnt subs tx for change dx | 682 | 679 | $0.00 |
| 99173 | 1,131 | 1,118 | $0.00 | |
| 90472 | 137 | 92 | $0.00 | |
| 91300 | 43 | 41 | $0.00 | |
| 87880 | 97 | 95 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| 87804 | 72 | 36 | $0.00 | |
| 92552 | 25 | 25 | $0.00 | |
| 90672 | 14 | 14 | $0.00 | |
| 90473 | 13 | 13 | $0.00 |