NPI: 1356864870 · SAN ANTONIO, TX 78209 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,307 | $187K |
| 2019 | 3,582 | $112K |
| 2020 | 182 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 656 | 320 | $77K | |
| D1120 | 691 | 691 | $27K | |
| D1110 | 497 | 496 | $25K | |
| D0120 | 935 | 935 | $24K | |
| D2393 | 135 | 76 | $17K | |
| D0220 | 1,029 | 1,008 | $16K | |
| D1208 | 666 | 666 | $14K | |
| D2391 | 162 | 103 | $13K | |
| D0210 | 208 | 207 | $13K | |
| D0230 | 1,570 | 791 | $13K | |
| D0150 | 334 | 332 | $13K | |
| D0274 | 338 | 338 | $12K | |
| D1352 | 117 | 37 | $9K | |
| D1351 | 284 | 77 | $8K | |
| D0140 | 175 | 171 | $6K | |
| D4355 | 73 | 73 | $6K | |
| D7210 | 65 | 16 | $5K | |
| D2950 | 15 | 14 | $2K | |
| D1206 | 103 | 103 | $2K | |
| D7140 | 18 | 13 | $1K |