NPI: 1164617585 · RIO GRANDE CITY, TX 78582 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 42 | $0.00 |
| 2020 | 78 | $0.00 |
| 2021 | 1,525 | $23K |
| 2022 | 193 | $2K |
| 2023 | 68 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 541 | 438 | $11K | |
| 0002A | 473 | 402 | $11K | |
| 0031A | 120 | 105 | $2K | |
| E0570 | Nebulizer with compression | 14 | 14 | $1K |
| 0004A | 50 | 50 | $196.00 | |
| 90662 | 97 | 97 | $48.83 | |
| 0012A | 29 | 29 | $24.13 | |
| 0011A | 36 | 36 | $14.40 | |
| 0064A | 162 | 162 | $0.00 | |
| 90694 | 15 | 15 | $0.00 | |
| 90480 | 15 | 15 | $0.00 | |
| 0134A | 34 | 34 | $0.00 | |
| G0008 | Admin influenza virus vac | 169 | 169 | $0.00 |
| K1034 | Covid test self-admn/collect | 61 | 61 | $0.00 |
| 91322 | 15 | 15 | $0.00 | |
| 0013A | 75 | 73 | $0.00 |