NPI: 1194779397 · SAN ANTONIO, TX 78216 · 261QH0100X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 356 | $4K |
| 2021 | 2,502 | $32K |
| 2022 | 1,866 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 748 | 704 | $26K | |
| 99214 | 228 | 210 | $12K | |
| 90460 | 1,139 | 550 | $8K | |
| 99391 | 54 | 49 | $4K | |
| 99393 | 32 | 32 | $3K | |
| 99392 | 28 | 26 | $2K | |
| 90461 | 175 | 102 | $1K | |
| 99211 | 97 | 94 | $1K | |
| 87811 | 28 | 28 | $1K | |
| 99394 | 12 | 12 | $1K | |
| 99000 | 47 | 47 | $496.80 | |
| 96110 | 61 | 46 | $407.00 | |
| 94760 | 174 | 161 | $262.34 | |
| 81002 | 47 | 47 | $137.24 | |
| 96160 | 73 | 51 | $119.75 | |
| CP002 | 12 | 12 | $117.60 | |
| G2023 | Specimen collect covid-19 | 80 | 71 | $56.92 |
| 90686 | 113 | 112 | $0.00 | |
| 90688 | 56 | 56 | $0.00 | |
| 99072 | 1,466 | 1,279 | $0.00 | |
| 99051 | 27 | 26 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| A4327 | Fem urinary collect dev cup | 15 | 15 | $0.00 |