NPI: 1275065260 · FORT WORTH, TX 76107 · 251E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 271 | $61K |
| 2021 | 984 | $177K |
| 2022 | 1,546 | $835K |
| 2023 | 1,557 | $746K |
| 2024 | 429 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J1745 | Infliximab not biosimil 10mg | 385 | 371 | $782K |
| J2357 | Omalizumab injection | 297 | 223 | $723K |
| G0299 | Hhs/hospice of rn ea 15 min | 247 | 150 | $182K |
| A4222 | Infusion supplies with pump | 1,933 | 1,500 | $130K |
| A4224 | Supply insulin inf cath/wk | 1,883 | 1,445 | $49K |
| S9345 | Hit anti-hemophil diem | 42 | 36 | $2K |