NPI: 1376168708 · RIO GRANDE CITY, TX 78582 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 911 | $17K |
| 2024 | 13,093 | $1.36M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,665 | 5,448 | $1.19M |
| 99392 | 418 | 413 | $66K | |
| 99393 | 326 | 313 | $49K | |
| 99391 | 304 | 285 | $47K | |
| 99394 | 169 | 157 | $24K | |
| 90460 | 904 | 857 | $935.00 | |
| 96110 | 389 | 285 | $287.36 | |
| G8510 | Scr dep neg, no plan reqd | 202 | 186 | $14.43 |
| 96161 | 380 | 345 | $4.50 | |
| 90461 | 1,355 | 583 | $0.00 | |
| 99051 | 186 | 164 | $0.00 | |
| 90633 | 120 | 119 | $0.00 | |
| 90648 | 14 | 14 | $0.00 | |
| 90734 | 41 | 40 | $0.00 | |
| 90710 | 98 | 98 | $0.00 | |
| 90649 | 51 | 46 | $0.00 | |
| 90670 | 355 | 336 | $0.00 | |
| 90700 | 12 | 12 | $0.00 | |
| 96160 | 12 | 12 | $0.00 | |
| 90680 | 187 | 172 | $0.00 | |
| 92558 | 174 | 165 | $0.00 | |
| 90744 | 132 | 125 | $0.00 | |
| 96372 | 73 | 70 | $0.00 | |
| 90698 | 244 | 229 | $0.00 | |
| 90686 | 124 | 123 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 26 | 25 | $0.00 |
| 99213 | 16 | 15 | $0.00 | |
| 90696 | 27 | 27 | $0.00 |