NPI: 1366045932 · FARMERS BRANCH, TX 75244 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,397 | $1K |
| 2022 | 1,998 | $0.00 |
| 2023 | 427 | $282.03 |
| 2024 | 248 | $316.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0004 | Cov-19 test non-cdc hgh thru | 1,503 | 1,242 | $825.00 |
| 87798 | 110 | 29 | $316.90 | |
| U0005 | Infec agen detec ampli probe | 1,597 | 1,306 | $300.00 |
| 87637 | 99 | 70 | $142.63 | |
| 80053 | 13 | 12 | $90.94 | |
| G2023 | Specimen collect covid-19 | 494 | 398 | $46.92 |
| 87631 | 15 | 14 | $0.00 | |
| 87481 | 14 | 13 | $0.00 | |
| 87502 | 15 | 14 | $0.00 | |
| 87653 | 14 | 13 | $0.00 | |
| 87563 | 12 | 12 | $0.00 | |
| 87641 | 14 | 13 | $0.00 | |
| 87491 | 12 | 12 | $0.00 | |
| 87529 | 12 | 12 | $0.00 | |
| 87486 | 18 | 15 | $0.00 | |
| 87651 | 28 | 26 | $0.00 | |
| 87661 | 12 | 12 | $0.00 | |
| 87511 | 12 | 12 | $0.00 | |
| 87500 | 14 | 13 | $0.00 | |
| 87640 | 14 | 13 | $0.00 | |
| 87581 | 18 | 15 | $0.00 | |
| 87591 | 12 | 12 | $0.00 | |
| 87541 | 18 | 15 | $0.00 |