NPI: 1154963163 · GRAND PRAIRIE, TX 75050 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 304 | $14K |
| 2022 | 1,855 | $69K |
| 2023 | 2,743 | $86K |
| 2024 | 1,646 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,099 | 2,585 | $134K | |
| 99213 | 2,353 | 1,975 | $71K | |
| 99204 | 289 | 262 | $18K | |
| 99394 | 15 | 12 | $831.60 | |
| 90460 | 69 | 54 | $687.50 | |
| 96110 | 114 | 93 | $605.52 | |
| 87426 | 27 | 26 | $506.70 | |
| 87880 | 13 | 13 | $108.15 | |
| 99401 | 63 | 59 | $69.36 | |
| 96127 | 187 | 166 | $36.57 | |
| 90686 | 13 | 12 | $35.97 | |
| 81003 | 14 | 12 | $12.84 | |
| 36415 | 278 | 259 | $5.24 | |
| 99072 | 14 | 12 | $0.00 |