NPI: 1386833374 · GRAPEVINE, TX 76051 · 2080P0208X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 48 | $4K |
| 2020 | 3,997 | $96K |
| 2021 | 23,346 | $588K |
| 2022 | 26,500 | $694K |
| 2023 | 21,413 | $621K |
| 2024 | 18,041 | $555K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 15,018 | 13,698 | $553K | |
| 99393 | 3,861 | 3,840 | $324K | |
| 99392 | 3,805 | 3,783 | $302K | |
| 99394 | 2,975 | 2,944 | $269K | |
| 99214 | 4,355 | 4,153 | $225K | |
| 99391 | 2,852 | 2,692 | $221K | |
| 90460 | 17,728 | 8,295 | $190K | |
| 87811 | 4,512 | 4,318 | $175K | |
| 87804 | 6,639 | 3,238 | $90K | |
| 87880 | 3,644 | 3,537 | $50K | |
| 92552 | 2,270 | 2,257 | $48K | |
| 96110 | 4,038 | 2,910 | $33K | |
| 99381 | 244 | 244 | $21K | |
| 90461 | 2,614 | 2,210 | $16K | |
| 94640 | 555 | 547 | $8K | |
| 87807 | 693 | 657 | $7K | |
| 99383 | 80 | 77 | $7K | |
| 0071A | 75 | 75 | $3K | |
| 90480 | 86 | 85 | $2K | |
| G8510 | Scr dep neg, no plan reqd | 274 | 262 | $2K |
| 87420 | 181 | 174 | $2K | |
| 0072A | 50 | 50 | $2K | |
| 96160 | 1,156 | 1,138 | $2K | |
| 99212 | 58 | 58 | $1K | |
| 99382 | 12 | 12 | $1K | |
| 81002 | 338 | 332 | $957.78 | |
| 99429 | 24 | 24 | $777.52 | |
| 0124A | 12 | 12 | $360.00 | |
| 90677 | 518 | 517 | $274.97 | |
| 90619 | 519 | 507 | $162.01 | |
| 90674 | 175 | 175 | $117.19 | |
| 90671 | 330 | 327 | $2.19 | |
| 91307 | 186 | 161 | $0.87 | |
| 90697 | 89 | 89 | $0.43 | |
| 91308 | 58 | 51 | $0.28 | |
| 91319 | 12 | 12 | $0.07 | |
| 91321 | 16 | 16 | $0.07 | |
| 91312 | 12 | 12 | $0.07 | |
| S3620 | Newborn metabolic screening | 12 | 12 | $0.01 |
| 90698 | 888 | 874 | $0.00 | |
| 90688 | 471 | 467 | $0.00 | |
| 90651 | 996 | 986 | $0.00 | |
| 90620 | 660 | 641 | $0.00 | |
| 90716 | 333 | 332 | $0.00 | |
| 90686 | 1,912 | 1,904 | $0.00 | |
| 90656 | 63 | 63 | $0.00 | |
| 90680 | 1,336 | 1,327 | $0.00 | |
| 90744 | 269 | 262 | $0.00 | |
| 90696 | 245 | 241 | $0.00 | |
| 90723 | 313 | 313 | $0.00 | |
| 90657 | 36 | 36 | $0.00 | |
| 90707 | 355 | 354 | $0.00 | |
| 90670 | 1,205 | 1,190 | $0.00 | |
| 90633 | 1,191 | 1,182 | $0.00 | |
| 90710 | 421 | 414 | $0.00 | |
| 90700 | 516 | 515 | $0.00 | |
| 90715 | 367 | 355 | $0.00 | |
| 90734 | 372 | 357 | $0.00 | |
| 90648 | 942 | 935 | $0.00 | |
| 90658 | 268 | 268 | $0.00 | |
| 90685 | 66 | 66 | $0.00 | |
| 90672 | 12 | 12 | $0.00 | |
| J7510 | Prednisolone oral per 5 mg | 18 | 18 | $0.00 |
| 90713 | 14 | 14 | $0.00 |