NPI: 1144976739 · RICHARDSON, TX 75081 · 207QG0300X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 645 | $28K |
| 2023 | 3,246 | $151K |
| 2024 | 4,506 | $157K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99091 | 1,142 | 1,078 | $154K | |
| 99214 | 1,723 | 1,398 | $69K | |
| 99213 | 1,636 | 1,405 | $51K | |
| 99204 | 413 | 395 | $31K | |
| 99203 | 284 | 279 | $14K | |
| 87811 | 179 | 167 | $4K | |
| 87804 | 462 | 225 | $4K | |
| 96372 | 351 | 295 | $3K | |
| 99490 | Ccm add 20min | 496 | 469 | $2K |
| 99439 | 303 | 285 | $1K | |
| 90715 | 25 | 25 | $825.91 | |
| 90471 | 56 | 51 | $549.18 | |
| 90472 | 12 | 12 | $220.94 | |
| J1100 | Dexamethasone sodium phos | 118 | 111 | $127.09 |
| 36415 | 924 | 876 | $95.67 | |
| 99487 | Ccm add 20min | 70 | 70 | $0.00 |
| 99458 | 81 | 78 | $0.00 | |
| 99457 | 82 | 79 | $0.00 | |
| 99454 | 40 | 39 | $0.00 |