NPI: 1295701878 · MISSION, TX 78572 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 150 | $4K |
| 2019 | 132 | $4K |
| 2020 | 4,428 | $95K |
| 2021 | 24,571 | $585K |
| 2022 | 28,677 | $768K |
| 2023 | 28,459 | $719K |
| 2024 | 25,184 | $637K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 20,037 | 16,527 | $729K | |
| 99212 | 18,366 | 15,512 | $447K | |
| 99393 | 2,813 | 2,766 | $231K | |
| 95004 | 499 | 499 | $203K | |
| 99394 | 2,129 | 2,100 | $186K | |
| 99392 | 2,296 | 2,229 | $173K | |
| 87804 | 11,991 | 5,721 | $155K | |
| 87426 | 3,441 | 3,303 | $142K | |
| 90460 | 10,005 | 5,152 | $103K | |
| 87880 | 7,362 | 6,962 | $97K | |
| 99391 | 1,285 | 1,227 | $91K | |
| 85025 | 8,802 | 8,137 | $56K | |
| 99429 | 1,475 | 1,454 | $47K | |
| 99000 | 3,541 | 3,401 | $34K | |
| 99395 | 199 | 195 | $17K | |
| 92552 | 626 | 619 | $16K | |
| 96110 | 1,965 | 1,454 | $16K | |
| 99203 | 277 | 264 | $15K | |
| 92081 | 638 | 630 | $15K | |
| 87807 | 942 | 898 | $10K | |
| 90461 | 2,214 | 1,831 | $10K | |
| 81000 | 1,845 | 1,741 | $6K | |
| 96160 | 1,771 | 1,747 | $4K | |
| 99211 | 282 | 272 | $3K | |
| 97169 | 110 | 88 | $3K | |
| 99381 | 16 | 13 | $920.53 | |
| G8510 | Scr dep neg, no plan reqd | 40 | 36 | $388.11 |
| 96372 | 29 | 27 | $310.77 | |
| 90658 | 2,051 | 2,002 | $5.80 | |
| 90620 | 403 | 393 | $4.70 | |
| 90651 | 505 | 488 | $4.30 | |
| 90734 | 505 | 489 | $0.20 | |
| 90633 | 345 | 336 | $0.00 | |
| 90670 | 1,165 | 1,110 | $0.00 | |
| 90655 | 307 | 298 | $0.00 | |
| 90707 | 29 | 25 | $0.00 | |
| 90648 | 278 | 267 | $0.00 | |
| 90681 | 246 | 227 | $0.00 | |
| 90715 | 25 | 24 | $0.00 | |
| 90710 | 12 | 12 | $0.00 | |
| 90697 | 503 | 475 | $0.00 | |
| 90723 | 146 | 142 | $0.00 | |
| 90716 | 42 | 38 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 29 | 27 | $0.00 |
| 90696 | 14 | 12 | $0.00 |