NPI: 1255424859 · LEWISVILLE, TX 75067 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 263 | $3K |
| 2019 | 203 | $4K |
| 2020 | 155 | $904.55 |
| 2021 | 1,884 | $47K |
| 2022 | 1,709 | $40K |
| 2024 | 12 | $211.49 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99202 | 1,016 | 996 | $28K | |
| U0003 | Cov-19 amp prb hgh thruput | 376 | 327 | $23K |
| 99441 | 983 | 899 | $16K | |
| 99212 | 623 | 426 | $9K | |
| 99214 | 638 | 509 | $9K | |
| U0005 | Infec agen detec ampli probe | 375 | 326 | $7K |
| 99203 | 51 | 51 | $2K | |
| 99442 | 28 | 28 | $725.22 | |
| 99211 | 31 | 26 | $335.83 | |
| 99213 | 23 | 14 | $327.72 | |
| 99000 | 38 | 38 | $97.20 | |
| 36415 | 44 | 40 | $0.00 |