NPI: 1477646271 · ALICE, TX 78332 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,098 | $259K |
| 2020 | 9,835 | $377K |
| 2021 | 39,877 | $1.65M |
| 2022 | 42,613 | $1.78M |
| 2023 | 42,899 | $1.70M |
| 2024 | 38,289 | $1.61M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 59,934 | 47,853 | $5.76M |
| 99392 | 4,426 | 4,371 | $447K | |
| 99393 | 4,290 | 4,219 | $429K | |
| 99391 | 3,686 | 3,592 | $371K | |
| 99394 | 3,258 | 3,217 | $325K | |
| 99381 | 119 | 113 | $12K | |
| 0071A | 294 | 290 | $10K | |
| 0072A | 186 | 185 | $6K | |
| 0001A | 345 | 341 | $6K | |
| 0002A | 292 | 283 | $6K | |
| 99213 | 45 | 45 | $2K | |
| 99429 | 13,993 | 13,760 | $2K | |
| 99395 | 12 | 12 | $1K | |
| 90460 | 23,002 | 10,842 | $885.19 | |
| 0004A | 29 | 29 | $800.00 | |
| 96110 | 5,805 | 5,729 | $169.37 | |
| 92587 | 3,286 | 3,264 | $140.08 | |
| 91307 | 38 | 38 | $116.34 | |
| 90461 | 6,718 | 5,599 | $101.77 | |
| 83655 | 1,195 | 1,181 | $30.52 | |
| 92551 | 1,944 | 1,896 | $29.49 | |
| 97803 | 9,434 | 9,286 | $23.86 | |
| 99211 | 217 | 217 | $15.86 | |
| 96160 | 4,183 | 4,128 | $12.65 | |
| 90670 | 1,730 | 1,707 | $0.00 | |
| 99051 | 1,715 | 1,658 | $0.00 | |
| 90710 | 1,159 | 1,146 | $0.00 | |
| 99173 | 5,473 | 5,394 | $0.00 | |
| 90715 | 292 | 289 | $0.00 | |
| 90633 | 1,448 | 1,427 | $0.00 | |
| 90734 | 324 | 324 | $0.00 | |
| 90621 | 115 | 115 | $0.00 | |
| 90671 | 1,636 | 1,600 | $0.00 | |
| 91300 | 580 | 546 | $0.00 | |
| 90380 | 30 | 29 | $0.00 | |
| 90697 | 1,770 | 1,747 | $0.00 | |
| 90698 | 1,102 | 1,081 | $0.00 | |
| 90680 | 2,076 | 2,045 | $0.00 | |
| 90686 | 3,533 | 3,481 | $0.00 | |
| 90651 | 1,170 | 1,158 | $0.00 | |
| 90744 | 287 | 286 | $0.00 | |
| 96127 | 3,590 | 3,332 | $0.00 | |
| 90619 | 679 | 672 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 546 | 527 | $0.00 |
| 90620 | 184 | 184 | $0.00 | |
| 90696 | 233 | 230 | $0.00 | |
| 96372 | 115 | 115 | $0.00 | |
| 90381 | 77 | 77 | $0.00 | |
| 90716 | 16 | 16 | $0.00 |