NPI: 1205204807 · JERSEY VILLAGE, TX 77040 · 305R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,909 | $49K |
| 2021 | 19,258 | $557K |
| 2022 | 16,755 | $471K |
| 2023 | 16,913 | $485K |
| 2024 | 4,236 | $107K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 4,736 | 1,633 | $365K | |
| D2392 | 2,273 | 1,253 | $216K | |
| D1351 | 7,191 | 2,127 | $190K | |
| D1120 | 3,317 | 3,261 | $119K | |
| D1110 | 2,121 | 2,101 | $114K | |
| D0120 | 3,786 | 3,749 | $107K | |
| D0230 | 11,955 | 4,588 | $93K | |
| D0274 | 2,512 | 2,487 | $85K | |
| D0145 | 573 | 562 | $79K | |
| D1208 | 5,441 | 5,366 | $78K | |
| D0210 | 1,124 | 1,106 | $72K | |
| D0150 | 1,675 | 1,631 | $56K | |
| D0220 | 4,764 | 4,679 | $54K | |
| D0272 | 1,681 | 1,649 | $32K | |
| D9230 | 124 | 115 | $3K | |
| D2393 | 19 | 14 | $2K | |
| D1352 | 85 | 27 | $1K | |
| D0603 | 5,520 | 5,465 | $0.00 | |
| D0602 | 174 | 170 | $0.00 |