NPI: 1194090001 · GRAND PRAIRIE, TX 75051 · 103T00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 639 | $45K |
| 2019 | 401 | $30K |
| 2020 | 3,026 | $37K |
| 2021 | 10,446 | $167K |
| 2022 | 8,332 | $135K |
| 2023 | 12,942 | $231K |
| 2024 | 7,825 | $140K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99391 | 5,000 | 4,283 | $325K | |
| 90460 | 11,306 | 4,362 | $117K | |
| 99392 | 1,669 | 1,600 | $116K | |
| 99381 | 827 | 793 | $63K | |
| 99213 | 1,951 | 1,784 | $56K | |
| 99212 | 1,097 | 1,014 | $24K | |
| 99393 | 245 | 234 | $19K | |
| 96110 | 2,416 | 1,835 | $19K | |
| G8510 | Scr dep neg, no plan reqd | 1,280 | 1,183 | $14K |
| 90461 | 3,603 | 2,745 | $10K | |
| 99214 | 313 | 280 | $9K | |
| 99441 | 340 | 314 | $7K | |
| 99442 | 41 | 39 | $1K | |
| 99202 | 33 | 32 | $1K | |
| 99394 | 13 | 13 | $1K | |
| 90472 | 970 | 421 | $1K | |
| 99203 | 14 | 12 | $830.53 | |
| 90471 | 911 | 756 | $682.86 | |
| 90474 | 190 | 167 | $290.86 | |
| 90677 | 605 | 605 | $2.64 | |
| 96161 | 15 | 15 | $2.53 | |
| 90688 | 897 | 840 | $2.02 | |
| 90686 | 623 | 589 | $0.76 | |
| 90680 | 1,381 | 1,286 | $0.00 | |
| 3074F | 941 | 812 | $0.00 | |
| 3044F | 154 | 134 | $0.00 | |
| 90723 | 1,002 | 938 | $0.00 | |
| 90698 | 244 | 243 | $0.00 | |
| 90716 | 82 | 70 | $0.00 | |
| 3079F | 74 | 62 | $0.00 | |
| 3048F | 31 | 28 | $0.00 | |
| 90696 | 16 | 16 | $0.00 | |
| 90647 | 13 | 13 | $0.00 | |
| 90651 | 16 | 16 | $0.00 | |
| 90656 | 31 | 31 | $0.00 | |
| 3075F | 17 | 14 | $0.00 | |
| 90670 | 1,796 | 1,653 | $0.00 | |
| 90648 | 1,536 | 1,432 | $0.00 | |
| 90633 | 502 | 456 | $0.00 | |
| 3078F | 971 | 843 | $0.00 | |
| 90710 | 114 | 114 | $0.00 | |
| 90700 | 83 | 79 | $0.00 | |
| 90707 | 86 | 74 | $0.00 | |
| 90681 | 150 | 150 | $0.00 | |
| 90734 | 12 | 12 | $0.00 |