NPI: 1235225087 · MIDLAND, TX 79701 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,171 | $226K |
| 2019 | 868 | $131K |
| 2020 | 29,184 | $1.44M |
| 2021 | 109,471 | $5.74M |
| 2022 | 115,148 | $6.09M |
| 2023 | 110,580 | $5.93M |
| 2024 | 95,848 | $5.36M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 114,049 | 90,158 | $19.34M |
| 99213 | 48,804 | 39,301 | $1.45M | |
| 99392 | 9,853 | 9,783 | $518K | |
| 99214 | 12,873 | 12,165 | $495K | |
| 99391 | 8,673 | 8,561 | $456K | |
| D0999 | 1,994 | 1,652 | $404K | |
| 99393 | 6,259 | 6,206 | $365K | |
| 99212 | 11,335 | 10,405 | $293K | |
| 99394 | 3,696 | 3,573 | $239K | |
| 59409 | 286 | 286 | $170K | |
| 87804 | 23,239 | 11,517 | $151K | |
| 99381 | 2,135 | 2,098 | $124K | |
| 90460 | 38,783 | 23,076 | $124K | |
| 59430 | 1,535 | 1,470 | $98K | |
| 87880 | 13,144 | 12,559 | $84K | |
| 99383 | 954 | 941 | $62K | |
| 90837 | 683 | 569 | $57K | |
| G0467 | Fqhc visit, estab pt | 1,459 | 1,340 | $49K |
| 99203 | 1,064 | 1,041 | $46K | |
| 99204 | 780 | 766 | $41K | |
| 87811 | 6,170 | 5,923 | $36K | |
| 99382 | 536 | 529 | $33K | |
| 59025 | 1,583 | 912 | $33K | |
| 87426 | 1,871 | 1,800 | $29K | |
| 99384 | 326 | 320 | $25K | |
| 90461 | 13,997 | 13,235 | $23K | |
| 99202 | 570 | 562 | $19K | |
| 90834 | 352 | 306 | $19K | |
| 59514 | 26 | 25 | $18K | |
| 87807 | 3,842 | 3,663 | $17K | |
| 83655 | 4,729 | 4,670 | $17K | |
| 81003 | 16,978 | 10,416 | $16K | |
| 99395 | 175 | 166 | $15K | |
| 81025 | 3,507 | 3,179 | $9K | |
| 90832 | 147 | 129 | $7K | |
| 90791 | 94 | 90 | $6K | |
| 83037 | 1,080 | 1,057 | $4K | |
| 96372 | 1,301 | 1,105 | $4K | |
| 0071A | 131 | 131 | $3K | |
| 90480 | 120 | 120 | $2K | |
| 0072A | 113 | 112 | $2K | |
| 0081A | 63 | 61 | $1K | |
| 90651 | 1,697 | 1,669 | $1K | |
| 99215 | Prolong outpt/office vis | 16 | 16 | $1K |
| 88720 | 2,536 | 1,788 | $996.97 | |
| 96110 | 1,237 | 1,067 | $845.49 | |
| 85018 | 8,496 | 8,302 | $707.96 | |
| 90471 | 2,634 | 2,558 | $667.65 | |
| 90715 | 2,527 | 2,489 | $604.10 | |
| 0082A | 27 | 27 | $520.00 | |
| 90621 | 632 | 615 | $503.94 | |
| 90688 | 1,433 | 1,417 | $473.22 | |
| J1050 | Medroxyprogesterone acetate | 467 | 461 | $463.50 |
| 0173A | 14 | 13 | $360.00 | |
| 90658 | 143 | 143 | $282.36 | |
| 81002 | 234 | 228 | $273.87 | |
| 0011A | 14 | 13 | $240.00 | |
| 82043 | 70 | 69 | $179.82 | |
| J0558 | Peng benzathine/procaine inj | 14 | 14 | $166.92 |
| CP003 | 15 | 13 | $119.00 | |
| J0696 | Ceftriaxone sodium injection | 305 | 250 | $99.46 |
| 90723 | 2,328 | 2,299 | $95.28 | |
| D1206 | 423 | 416 | $14.70 | |
| 91317 | 14 | 13 | $13.10 | |
| 82947 | 12 | 12 | $9.90 | |
| 90473 | 4,667 | 4,610 | $7.84 | |
| 90619 | 1,029 | 1,008 | $5.78 | |
| J7613 | Albuterol non-comp unit | 74 | 73 | $1.88 |
| 92551 | 451 | 451 | $0.32 | |
| 90686 | 7,039 | 6,953 | $0.05 | |
| 90633 | 4,574 | 4,524 | $0.01 | |
| 90648 | 3,974 | 3,925 | $0.00 | |
| 3078F | 3,935 | 2,924 | $0.00 | |
| 90681 | 898 | 896 | $0.00 | |
| 90707 | 1,721 | 1,696 | $0.00 | |
| 90649 | 1,154 | 1,137 | $0.00 | |
| 90734 | 927 | 907 | $0.00 | |
| 90670 | 6,331 | 6,244 | $0.00 | |
| 0502F | 6,216 | 3,298 | $0.00 | |
| 90685 | 239 | 238 | $0.00 | |
| 90710 | 2,134 | 2,109 | $0.00 | |
| J7610 | Albuterol comp con | 56 | 55 | $0.00 |
| D0145 | 326 | 323 | $0.00 | |
| 90687 | 217 | 214 | $0.00 | |
| 90700 | 1,910 | 1,888 | $0.00 | |
| 90713 | 26 | 26 | $0.00 | |
| 3028F | 4,139 | 3,923 | $0.00 | |
| D0330 | 50 | 48 | $0.00 | |
| D1120 | 253 | 247 | $0.00 | |
| 91308 | 30 | 29 | $0.00 | |
| D0274 | 91 | 87 | $0.00 | |
| 3077F | 252 | 237 | $0.00 | |
| 99188 | 68 | 67 | $0.00 | |
| 90472 | 41 | 41 | $0.00 | |
| 90716 | 1,815 | 1,790 | $0.00 | |
| 90696 | 1,733 | 1,707 | $0.00 | |
| 90697 | 1,499 | 1,495 | $0.00 | |
| 3075F | 342 | 321 | $0.00 | |
| 3079F | 1,345 | 1,196 | $0.00 | |
| 90677 | 1,992 | 1,987 | $0.00 | |
| 0500F | 548 | 511 | $0.00 | |
| 3074F | 4,769 | 3,506 | $0.00 | |
| D0601 | 687 | 655 | $0.00 | |
| 90698 | 2,495 | 2,473 | $0.00 | |
| S0302 | Completed epsdt | 922 | 906 | $0.00 |
| D0272 | 362 | 356 | $0.00 | |
| 99174 | 551 | 546 | $0.00 | |
| 90680 | 3,727 | 3,678 | $0.00 | |
| D0603 | 159 | 154 | $0.00 | |
| 90744 | 518 | 511 | $0.00 | |
| D0120 | 404 | 391 | $0.00 | |
| 0503F | 743 | 704 | $0.00 | |
| 99024 | 228 | 177 | $0.00 | |
| 3080F | 87 | 81 | $0.00 | |
| 90656 | 666 | 664 | $0.00 | |
| D0150 | 171 | 168 | $0.00 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |
| 90647 | 26 | 23 | $0.00 | |
| J8540 | Oral dexamethasone | 13 | 13 | $0.00 |
| 91318 | 24 | 24 | $0.00 | |
| 91319 | 13 | 13 | $0.00 |