NPI: 1174580930 · RAYMONDVILLE, TX 78580 · 208D00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 976 | $6K |
| 2019 | 651 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 647 | 523 | $10K | |
| 96372 | 186 | 132 | $1K | |
| 85025 | 382 | 316 | $181.12 | |
| 99214 | 19 | 16 | $59.93 | |
| 83036 | 16 | 14 | $18.12 | |
| Q2037 | Fluvirin vacc, 3 yrs & >, im | 19 | 19 | $0.00 |
| 3288F | 21 | 16 | $0.00 | |
| 1170F | 21 | 16 | $0.00 | |
| 99000 | 16 | 14 | $0.00 | |
| 36415 | 16 | 14 | $0.00 | |
| J1100 | Dexamethasone sodium phos | 236 | 198 | $0.00 |
| G0439 | Ppps, subseq visit | 17 | 14 | $0.00 |
| J0696 | Ceftriaxone sodium injection | 31 | 25 | $0.00 |