NPI: 1457659468 · BROWNSVILLE, TX 78521 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,597 | $51K |
| 2019 | 1,261 | $66K |
| 2020 | 3,591 | $291K |
| 2021 | 17,920 | $1.26M |
| 2022 | 20,229 | $1.45M |
| 2023 | 22,899 | $1.82M |
| 2024 | 25,327 | $2.31M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 32,359 | 20,860 | $5.96M |
| 99213 | 17,082 | 12,772 | $721K | |
| 99212 | 5,066 | 4,317 | $232K | |
| 99214 | 2,943 | 2,287 | $91K | |
| G0467 | Fqhc visit, estab pt | 2,106 | 1,915 | $64K |
| 99391 | 411 | 380 | $49K | |
| 87804 | 3,843 | 3,541 | $33K | |
| 90460 | 4,013 | 2,801 | $23K | |
| 99394 | 204 | 188 | $16K | |
| 99393 | 187 | 175 | $15K | |
| 99392 | 133 | 132 | $11K | |
| 87426 | 3,708 | 3,417 | $4K | |
| 85025 | 3,017 | 2,836 | $3K | |
| 59430 | 63 | 56 | $3K | |
| 86403 | 900 | 856 | $3K | |
| G2025 | Dis site tele svcs rhc/fqhc | 121 | 118 | $2K |
| 0001A | 38 | 38 | $1K | |
| 90480 | 75 | 75 | $1K | |
| 76816 | 100 | 98 | $1K | |
| 81003 | 1,338 | 967 | $1K | |
| 80053 | 4,000 | 3,888 | $844.94 | |
| 76805 | 83 | 81 | $792.21 | |
| D1110 | 29 | 29 | $756.00 | |
| 90686 | 1,685 | 1,573 | $681.34 | |
| 0031A | 30 | 29 | $680.00 | |
| 81000 | 493 | 298 | $618.54 | |
| 0011A | 46 | 44 | $597.16 | |
| 87880 | 737 | 655 | $569.49 | |
| 97169 | 33 | 29 | $480.00 | |
| 81001 | 1,327 | 1,160 | $427.72 | |
| 0012A | 23 | 23 | $425.85 | |
| D0140 | 15 | 14 | $290.25 | |
| 80061 | 2,141 | 2,132 | $266.90 | |
| 86738 | 18 | 18 | $244.64 | |
| 92551 | 1,244 | 1,179 | $195.79 | |
| 90715 | 42 | 40 | $190.40 | |
| 76810 | 28 | 26 | $168.72 | |
| 96110 | 43 | 41 | $138.38 | |
| 90461 | 319 | 290 | $100.65 | |
| 83036 | 1,025 | 1,019 | $77.80 | |
| 87491 | 47 | 39 | $58.96 | |
| 87591 | 47 | 39 | $58.96 | |
| 84443 | 424 | 420 | $27.75 | |
| 90471 | 201 | 168 | $20.94 | |
| 86580 | 16 | 14 | $12.92 | |
| G0468 | Fqhc visit, ippe or awv | 28 | 28 | $6.96 |
| 85018 | 12 | 12 | $1.99 | |
| 90472 | 27 | 25 | $0.00 | |
| 91300 | 37 | 37 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| 87633 | 14 | 14 | $0.00 | |
| 90380 | 13 | 13 | $0.00 | |
| 99173 | 12 | 12 | $0.00 | |
| 90681 | 13 | 13 | $0.00 | |
| 91301 | 99 | 97 | $0.00 | |
| G0008 | Admin influenza virus vac | 68 | 68 | $0.00 |
| 91319 | 14 | 14 | $0.00 | |
| 91305 | 14 | 14 | $0.00 | |
| G0439 | Ppps, subseq visit | 28 | 28 | $0.00 |
| 90656 | 320 | 313 | $0.00 | |
| 91303 | 30 | 29 | $0.00 | |
| 96372 | 35 | 34 | $0.00 | |
| 90677 | 44 | 41 | $0.00 | |
| 87086 | 98 | 74 | $0.00 | |
| 87637 | 12 | 12 | $0.00 | |
| 90697 | 13 | 13 | $0.00 | |
| 99000 | 78 | 64 | $0.00 |