NPI: 1285908335 · TEXARKANA, TX 75503 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,472 | $30K |
| 2021 | 7,888 | $161K |
| 2022 | 6,652 | $106K |
| 2023 | 7,873 | $144K |
| 2024 | 4,506 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 6,451 | 5,708 | $195K | |
| 99214 | 2,249 | 2,095 | $104K | |
| 99391 | 1,129 | 1,044 | $53K | |
| 99392 | 1,118 | 1,077 | $52K | |
| 90460 | 2,868 | 1,762 | $20K | |
| 99393 | 299 | 276 | $15K | |
| 99203 | 295 | 279 | $15K | |
| 99000 | 2,289 | 2,035 | $13K | |
| 99212 | 730 | 692 | $12K | |
| 87502 | 110 | 107 | $7K | |
| 87811 | 186 | 183 | $7K | |
| 87651 | 240 | 222 | $7K | |
| 87880 | 594 | 567 | $6K | |
| 87804 | 382 | 195 | $4K | |
| 99211 | 364 | 338 | $4K | |
| 96110 | 947 | 800 | $4K | |
| 90461 | 1,722 | 1,336 | $3K | |
| 97803 | 1,266 | 1,178 | $2K | |
| 99394 | 26 | 25 | $1K | |
| 90670 | 770 | 731 | $1K | |
| 99383 | 19 | 16 | $1K | |
| 90648 | 428 | 416 | $1K | |
| 94640 | 73 | 70 | $1K | |
| 99382 | 14 | 12 | $902.65 | |
| 87420 | 89 | 82 | $658.88 | |
| 90723 | 215 | 205 | $525.60 | |
| 90688 | 132 | 127 | $417.85 | |
| 81002 | 158 | 143 | $398.08 | |
| 90633 | 297 | 283 | $315.41 | |
| 87807 | 30 | 26 | $300.62 | |
| 90681 | 131 | 127 | $197.11 | |
| 90710 | 179 | 166 | $170.85 | |
| 97802 | 69 | 67 | $170.66 | |
| 90471 | 18 | 18 | $94.08 | |
| 90686 | 151 | 150 | $92.70 | |
| 99173 | 61 | 61 | $82.10 | |
| A7015 | Aerosol mask used w nebulize | 61 | 58 | $54.76 |
| 96127 | 40 | 26 | $11.58 | |
| 90697 | 178 | 165 | $0.44 | |
| 90677 | 138 | 133 | $0.32 | |
| 99401 | 1,366 | 1,263 | $0.00 | |
| 99072 | 370 | 339 | $0.00 | |
| 36416 | 80 | 70 | $0.00 | |
| J7609 | Albuterol comp unit | 59 | 56 | $0.00 |