NPI: 1194474106 · AZLE, TX 76020 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 258 | $63K |
| 2023 | 256 | $96.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 81220 | 61 | 59 | $20K | |
| 81404 | 15 | 12 | $12K | |
| 81407 | 15 | 12 | $7K | |
| 81405 | 15 | 12 | $5K | |
| 81406 | 15 | 12 | $5K | |
| 81403 | 15 | 12 | $3K | |
| 81226 | 13 | 13 | $3K | |
| 81225 | 13 | 13 | $2K | |
| 81350 | 13 | 13 | $2K | |
| 81227 | 13 | 13 | $1K | |
| 81241 | 13 | 13 | $535.30 | |
| 81240 | 14 | 14 | $519.86 | |
| 81291 | 13 | 13 | $479.02 | |
| 81255 | 15 | 12 | $450.60 | |
| 81251 | 15 | 12 | $413.73 | |
| K1034 | Covid test self-admn/collect | 256 | 254 | $96.00 |