NPI: 1336537661 · DUMAS, TX 79029 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,723 | $114K |
| 2021 | 12,294 | $875K |
| 2022 | 12,874 | $1.08M |
| 2023 | 9,611 | $1.02M |
| 2024 | 5,037 | $535K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 18,006 | 16,984 | $3.21M |
| 99392 | 870 | 853 | $155K | |
| 99391 | 865 | 829 | $152K | |
| 99393 | 512 | 502 | $88K | |
| 99394 | 95 | 93 | $15K | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 107 | 107 | $1K |
| 87880 | 5,493 | 5,397 | $604.46 | |
| 87804 | 6,963 | 5,270 | $383.11 | |
| 96372 | 143 | 133 | $147.62 | |
| G9903 | Pt scrn tbco id as non user | 268 | 259 | $136.09 |
| 96110 | 832 | 805 | $89.54 | |
| 99214 | 17 | 14 | $32.00 | |
| 81002 | 37 | 36 | $3.11 | |
| 90471 | 1,928 | 1,896 | $0.00 | |
| 90723 | 192 | 185 | $0.00 | |
| 87426 | 58 | 56 | $0.00 | |
| 96127 | 47 | 46 | $0.00 | |
| 92551 | 95 | 94 | $0.00 | |
| 90677 | 110 | 110 | $0.00 | |
| 90474 | 116 | 109 | $0.00 | |
| 87807 | 39 | 39 | $0.00 | |
| 90647 | 60 | 58 | $0.00 | |
| 90698 | 26 | 25 | $0.00 | |
| 90686 | 46 | 46 | $0.00 | |
| 1036F | 12 | 12 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 42 | 40 | $0.00 |
| 90648 | 69 | 68 | $0.00 | |
| 90633 | 143 | 140 | $0.00 | |
| 90670 | 716 | 704 | $0.00 | |
| 99173 | 95 | 94 | $0.00 | |
| 90461 | 151 | 103 | $0.00 | |
| 90710 | 174 | 171 | $0.00 | |
| 90472 | 2,168 | 1,310 | $0.00 | |
| G8483 | Flu imm no admin doc rea | 615 | 602 | $0.00 |
| 90681 | 128 | 126 | $0.00 | |
| G8482 | Flu immunize order/admin | 27 | 26 | $0.00 |
| 90715 | 61 | 61 | $0.00 | |
| 90460 | 145 | 137 | $0.00 | |
| 90734 | 68 | 68 | $0.00 |