NPI: 1316370430 · RIO GRANDE CITY, TX 78582 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,649 | $30K |
| 2021 | 9,735 | $280K |
| 2022 | 17,822 | $527K |
| 2023 | 16,867 | $460K |
| 2024 | 961 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 25,851 | 17,356 | $923K | |
| 99392 | 1,103 | 1,087 | $84K | |
| 99203 | 1,341 | 1,288 | $71K | |
| 99393 | 886 | 859 | $69K | |
| 99391 | 821 | 783 | $58K | |
| 99394 | 650 | 616 | $51K | |
| 90460 | 2,877 | 2,727 | $28K | |
| 99214 | 219 | 205 | $11K | |
| 96110 | 987 | 825 | $7K | |
| 90461 | 3,629 | 1,665 | $6K | |
| 0071A | 88 | 85 | $3K | |
| 0072A | 66 | 66 | $3K | |
| T1015 | Clinic service | 440 | 320 | $2K |
| 92558 | 280 | 269 | $2K | |
| 96372 | 191 | 180 | $2K | |
| 92587 | 197 | 185 | $1K | |
| 99395 | 12 | 12 | $1K | |
| 99381 | 13 | 12 | $929.61 | |
| 99384 | 17 | 17 | $892.36 | |
| 90473 | 275 | 258 | $752.64 | |
| 96160 | 535 | 486 | $723.97 | |
| 99051 | 580 | 531 | $567.72 | |
| 96161 | 1,391 | 1,332 | $469.69 | |
| 90471 | 18 | 13 | $133.28 | |
| 90686 | 727 | 702 | $18.24 | |
| 90734 | 161 | 157 | $0.03 | |
| 90670 | 1,010 | 955 | $0.00 | |
| 90649 | 141 | 133 | $0.00 | |
| 90633 | 364 | 355 | $0.00 | |
| 90710 | 183 | 179 | $0.00 | |
| 90700 | 135 | 134 | $0.00 | |
| 90648 | 40 | 40 | $0.00 | |
| 90715 | 13 | 12 | $0.00 | |
| 90707 | 15 | 14 | $0.00 | |
| 90680 | 620 | 590 | $0.00 | |
| 90744 | 247 | 239 | $0.00 | |
| 90698 | 626 | 596 | $0.00 | |
| 90647 | 136 | 126 | $0.00 | |
| 90696 | 16 | 16 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 99 | 91 | $0.00 |
| 90723 | 17 | 13 | $0.00 | |
| 90716 | 17 | 16 | $0.00 |