NPI: 1467841668 · EDINBURG, TX 78539 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18 | $912.40 |
| 2020 | 1,476 | $32K |
| 2021 | 12,888 | $296K |
| 2022 | 16,608 | $380K |
| 2023 | 16,068 | $387K |
| 2024 | 11,930 | $311K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,599 | 5,819 | $338K | |
| 99213 | 8,639 | 7,446 | $315K | |
| 99392 | 1,940 | 1,923 | $151K | |
| 99393 | 1,307 | 1,304 | $108K | |
| 99391 | 1,417 | 1,355 | $107K | |
| 90460 | 7,224 | 3,394 | $78K | |
| 87804 | 4,330 | 2,071 | $57K | |
| 85025 | 6,754 | 6,266 | $42K | |
| 87880 | 2,839 | 2,719 | $38K | |
| 96110 | 4,517 | 4,320 | $32K | |
| 99394 | 347 | 345 | $31K | |
| 92588 | 1,500 | 1,490 | $26K | |
| 99429 | 699 | 689 | $23K | |
| 96372 | 1,680 | 1,370 | $19K | |
| 87426 | 268 | 258 | $11K | |
| 87807 | 860 | 813 | $9K | |
| 90461 | 1,458 | 1,284 | $7K | |
| 99212 | 217 | 216 | $5K | |
| 83655 | 284 | 275 | $3K | |
| 99203 | 20 | 19 | $1K | |
| 99204 | 12 | 12 | $1K | |
| 99000 | 69 | 64 | $745.20 | |
| 81002 | 219 | 199 | $618.84 | |
| J0696 | Ceftriaxone sodium injection | 505 | 462 | $489.12 |
| J1100 | Dexamethasone sodium phos | 885 | 839 | $358.71 |
| 90680 | 691 | 689 | $0.00 | |
| 90698 | 882 | 880 | $0.00 | |
| 90744 | 333 | 330 | $0.00 | |
| 90686 | 837 | 835 | $0.00 | |
| 90677 | 266 | 264 | $0.00 | |
| 90651 | 38 | 38 | $0.00 | |
| 90716 | 27 | 27 | $0.00 | |
| 90696 | 13 | 13 | $0.00 | |
| 90619 | 12 | 12 | $0.00 | |
| 90633 | 378 | 370 | $0.00 | |
| 90670 | 846 | 840 | $0.00 | |
| 90700 | 24 | 24 | $0.00 | |
| 90707 | 27 | 27 | $0.00 | |
| 90710 | 13 | 13 | $0.00 | |
| 90734 | 12 | 12 | $0.00 |