NPI: 1356797021 · DONNA, TX 78537 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,922 | $118K |
| 2023 | 21,560 | $608K |
| 2024 | 9,037 | $254K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 8,367 | 6,711 | $314K | |
| 87811 | 2,069 | 1,896 | $80K | |
| 87502 | 988 | 944 | $76K | |
| 87804 | 4,424 | 2,071 | $60K | |
| 99393 | 738 | 721 | $60K | |
| 87637 | 440 | 406 | $56K | |
| 87880 | 3,924 | 3,609 | $53K | |
| 99394 | 563 | 558 | $49K | |
| 99392 | 617 | 610 | $48K | |
| 87635 | 879 | 840 | $42K | |
| 99391 | 419 | 408 | $32K | |
| 90460 | 3,152 | 1,384 | $29K | |
| 99212 | 810 | 800 | $20K | |
| 85025 | 2,843 | 2,485 | $18K | |
| 99214 | 298 | 292 | $16K | |
| 87634 | 209 | 197 | $12K | |
| 87081 | 970 | 935 | $5K | |
| 99395 | 27 | 27 | $2K | |
| 96110 | 253 | 253 | $2K | |
| 99203 | 29 | 28 | $2K | |
| 86318 | 73 | 72 | $1K | |
| 82570 | 174 | 170 | $739.50 | |
| 90461 | 299 | 299 | $496.01 | |
| 87807 | 52 | 48 | $473.00 | |
| 96160 | 207 | 205 | $443.25 | |
| 81003 | 238 | 230 | $438.48 | |
| 80176 | 31 | 29 | $370.20 | |
| 96372 | 17 | 12 | $200.43 | |
| G2023 | Specimen collect covid-19 | 201 | 192 | $117.30 |
| 90471 | 14 | 14 | $112.00 | |
| J0696 | Ceftriaxone sodium injection | 92 | 85 | $83.64 |
| 90472 | 12 | 12 | $10.38 | |
| J1100 | Dexamethasone sodium phos | 14 | 13 | $2.34 |
| 90686 | 466 | 463 | $1.04 | |
| 90697 | 184 | 184 | $0.00 | |
| 90651 | 108 | 108 | $0.00 | |
| 90680 | 168 | 167 | $0.00 | |
| 90620 | 35 | 35 | $0.00 | |
| 97802 | 90 | 89 | $0.00 | |
| 90716 | 80 | 80 | $0.00 | |
| 90696 | 26 | 26 | $0.00 | |
| 90670 | 312 | 310 | $0.00 | |
| 90681 | 48 | 48 | $0.00 | |
| 99211 | 27 | 27 | $0.00 | |
| 90700 | 41 | 41 | $0.00 | |
| 90734 | 69 | 69 | $0.00 | |
| 90707 | 96 | 94 | $0.00 | |
| 90671 | 104 | 101 | $0.00 | |
| 90633 | 129 | 126 | $0.00 | |
| 90715 | 28 | 28 | $0.00 | |
| 90648 | 44 | 44 | $0.00 | |
| 90473 | 21 | 16 | $0.00 |