NPI: 1194783183 · FORT WORTH, TX 76104 · 172V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,086 | $17K |
| 2019 | 2,826 | $21K |
| 2020 | 5,432 | $36K |
| 2021 | 29,255 | $164K |
| 2022 | 37,825 | $225K |
| 2023 | 36,319 | $298K |
| 2024 | 42,213 | $439K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | 42,437 | 21,897 | $376K | |
| 90471 | 32,062 | 31,410 | $337K | |
| 90707 | 4,402 | 4,356 | $53K | |
| 90746 | 886 | 862 | $49K | |
| 90715 | 9,426 | 9,323 | $39K | |
| 90716 | 5,181 | 5,128 | $32K | |
| 99383 | 350 | 339 | $29K | |
| 99385 | 368 | 355 | $25K | |
| 90713 | 4,589 | 4,542 | $22K | |
| 91320 | 198 | 197 | $21K | |
| 90651 | 4,369 | 4,330 | $18K | |
| 90480 | 1,047 | 1,036 | $18K | |
| 0001A | 751 | 747 | $15K | |
| 0002A | 637 | 633 | $14K | |
| 0012A | 648 | 646 | $13K | |
| 90619 | 6,200 | 6,146 | $12K | |
| 90714 | 993 | 980 | $11K | |
| 0011A | 737 | 733 | $11K | |
| 90686 | 3,531 | 3,473 | $11K | |
| 81025 | 1,521 | 1,482 | $10K | |
| 99384 | 110 | 108 | $10K | |
| 87591 | 481 | 236 | $9K | |
| 87491 | 479 | 235 | $9K | |
| 87801 | 248 | 116 | $8K | |
| 90734 | 3,381 | 3,370 | $8K | |
| T1013 | Sign lang/oral interpreter | 183 | 159 | $5K |
| 87389 | 351 | 342 | $5K | |
| 90688 | 412 | 411 | $4K | |
| 99382 | 47 | 44 | $4K | |
| 86780 | 437 | 278 | $3K | |
| 90656 | 630 | 628 | $3K | |
| 90474 | 392 | 352 | $3K | |
| 91322 | 151 | 151 | $2K | |
| 86481 | 26 | 26 | $1K | |
| 99386 | 13 | 13 | $1K | |
| 99202 | 65 | 64 | $1K | |
| 90759 | 14 | 14 | $973.56 | |
| 99203 | 31 | 30 | $694.36 | |
| 87661 | 47 | 46 | $674.26 | |
| 90632 | 15 | 15 | $651.96 | |
| 90670 | 1,562 | 1,555 | $635.83 | |
| 90677 | 595 | 574 | $530.30 | |
| 99213 | 15 | 14 | $496.66 | |
| 87210 | 124 | 124 | $444.99 | |
| 86704 | 30 | 30 | $325.00 | |
| 90756 | 27 | 27 | $325.00 | |
| 86706 | 30 | 30 | $289.64 | |
| 90658 | 257 | 256 | $256.30 | |
| 83655 | 13 | 13 | $163.28 | |
| 85025 | 30 | 30 | $120.90 | |
| 87340 | 30 | 30 | $115.78 | |
| 86593 | 81 | 81 | $109.48 | |
| 86803 | 15 | 15 | $82.44 | |
| 83986 | 98 | 98 | $76.69 | |
| 90662 | 12 | 12 | $54.58 | |
| 80053 | 30 | 30 | $39.18 | |
| 36415 | 1,929 | 1,894 | $1.17 | |
| 90696 | 2,345 | 2,335 | $0.00 | |
| 90744 | 2,088 | 2,067 | $0.00 | |
| T1002 | Rn services up to 15 minutes | 59 | 59 | $0.00 |
| 90697 | 601 | 587 | $0.00 | |
| 90698 | 608 | 602 | $0.00 | |
| 90723 | 815 | 813 | $0.00 | |
| 91301 | 1,394 | 1,362 | $0.00 | |
| 90620 | 223 | 223 | $0.00 | |
| 90680 | 313 | 308 | $0.00 | |
| G0008 | Admin influenza virus vac | 50 | 50 | $0.00 |
| 91319 | 82 | 82 | $0.00 | |
| 99000 | 30 | 30 | $0.00 | |
| 90633 | 7,630 | 7,536 | $0.00 | |
| 91321 | 311 | 309 | $0.00 | |
| 90700 | 2,472 | 2,452 | $0.00 | |
| 90648 | 764 | 761 | $0.00 | |
| 90710 | 2,731 | 2,714 | $0.00 | |
| 91300 | 1,398 | 1,221 | $0.00 | |
| T1003 | Lpn/lvn services up to 15min | 54 | 54 | $0.00 |
| 90671 | 172 | 171 | $0.00 | |
| 90661 | 40 | 40 | $0.00 | |
| 86703 | 39 | 39 | $0.00 | |
| 90621 | 13 | 13 | $0.00 |