NPI: 1356399059 · TEMPLE, TX 76504 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 939 | $23K |
| 2021 | 1,510 | $20K |
| 2022 | 1,771 | $19K |
| 2023 | 1,286 | $6K |
| 2024 | 137 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | 1,043 | 992 | $19K | |
| S4993 | Contraceptive pills for bc | 197 | 193 | $19K |
| 99000 | 527 | 522 | $5K | |
| 99395 | 83 | 83 | $5K | |
| J1050 | Medroxyprogesterone acetate | 63 | 62 | $5K |
| 90471 | 629 | 538 | $4K | |
| 81025 | 652 | 628 | $4K | |
| 90472 | 593 | 314 | $3K | |
| 96372 | 133 | 132 | $2K | |
| 99202 | 39 | 39 | $1K | |
| 85018 | 401 | 389 | $778.65 | |
| 86701 | 59 | 50 | $231.57 | |
| 87210 | 29 | 29 | $141.81 | |
| 82948 | 378 | 362 | $63.45 | |
| 86592 | 60 | 51 | $21.54 | |
| 90688 | 21 | 21 | $0.07 | |
| 90734 | 183 | 156 | $0.03 | |
| 90696 | 51 | 51 | $0.00 | |
| 90716 | 12 | 12 | $0.00 | |
| 87591 | 37 | 28 | $0.00 | |
| 90651 | 97 | 86 | $0.00 | |
| 90710 | 77 | 70 | $0.00 | |
| 87491 | 37 | 28 | $0.00 | |
| 90715 | 158 | 136 | $0.00 | |
| 90633 | 84 | 77 | $0.00 |