NPI: 1497151237 · SAN ANTONIO, TX 78259 · 363A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,175 | $132K |
| 2021 | 15,846 | $530K |
| 2022 | 25,178 | $803K |
| 2023 | 26,456 | $764K |
| 2024 | 19,025 | $460K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 18,578 | 16,375 | $752K | |
| 87426 | 14,392 | 12,513 | $465K | |
| 99204 | 6,066 | 5,555 | $403K | |
| 99213 | 11,925 | 10,611 | $354K | |
| 99203 | 5,355 | 4,962 | $245K | |
| 87428 | 4,300 | 3,589 | $161K | |
| 87804 | 8,843 | 4,186 | $104K | |
| 87400 | 10,742 | 4,547 | $93K | |
| 87880 | 5,313 | 4,685 | $54K | |
| U0002 | Covid-19 lab test non-cdc | 1,044 | 959 | $40K |
| 87430 | 784 | 719 | $9K | |
| 87811 | 115 | 112 | $3K | |
| 87807 | 144 | 124 | $1K | |
| 96372 | 110 | 106 | $1K | |
| 87420 | 124 | 94 | $833.93 | |
| 99202 | 19 | 18 | $661.88 | |
| 81003 | 273 | 252 | $428.69 | |
| 99212 | 16 | 15 | $232.95 | |
| J1100 | Dexamethasone sodium phos | 52 | 45 | $36.82 |
| S9088 | Services provided in urgent | 1,469 | 1,241 | $0.00 |
| A9150 | Misc/exper non-prescript dru | 16 | 16 | $0.00 |