NPI: 1346227824 · RIO GRANDE CITY, TX 78582 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,726 | $3K |
| 2020 | 1,256 | $0.00 |
| 2021 | 8,100 | $23K |
| 2022 | 7,317 | $63K |
| 2023 | 2,755 | $24K |
| 2024 | 2,363 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 3,621 | 360 | $133K | |
| J0887 | Epoetin beta esrd use | 40 | 27 | $2K |
| 80051 | 705 | 684 | $0.00 | |
| 82306 | 46 | 43 | $0.00 | |
| A4657 | Syringe w/wo needle | 5,815 | 900 | $0.00 |
| 82040 | 1,073 | 826 | $0.00 | |
| 87340 | 984 | 940 | $0.00 | |
| 84075 | 1,108 | 1,055 | $0.00 | |
| 85018 | 2,140 | 958 | $0.00 | |
| 85025 | 275 | 268 | $0.00 | |
| 84132 | 90 | 73 | $0.00 | |
| 82435 | 79 | 79 | $0.00 | |
| 82728 | 359 | 322 | $0.00 | |
| 86706 | 17 | 16 | $0.00 | |
| 83735 | 29 | 26 | $0.00 | |
| G0008 | Admin influenza virus vac | 14 | 12 | $0.00 |
| 82607 | 30 | 27 | $0.00 | |
| 80069 | 12 | 12 | $0.00 | |
| 82746 | 14 | 13 | $0.00 | |
| 84520 | 1,066 | 453 | $0.00 | |
| 83970 | 321 | 303 | $0.00 | |
| 84100 | 1,045 | 724 | $0.00 | |
| 82310 | 1,285 | 967 | $0.00 | |
| 83540 | 1,059 | 894 | $0.00 | |
| 82565 | 803 | 776 | $0.00 | |
| 82108 | 112 | 107 | $0.00 | |
| 85014 | 652 | 313 | $0.00 | |
| 84466 | 693 | 595 | $0.00 | |
| 84155 | 699 | 666 | $0.00 | |
| 85045 | 173 | 168 | $0.00 | |
| 82374 | 113 | 93 | $0.00 | |
| J1756 | Iron sucrose injection | 45 | 12 | $0.00 |