NPI: 1508031709 · CLEVELAND, TX 77327 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 93 | $219.32 |
| 2022 | 69 | $0.00 |
| 2024 | 2,864 | $117K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99091 | 501 | 485 | $77K | |
| 99214 | 630 | 451 | $23K | |
| 99213 | 257 | 193 | $7K | |
| 96372 | 328 | 224 | $7K | |
| 95921 | 55 | 48 | $1K | |
| 93923 | 110 | 48 | $1K | |
| J3301 | Triamcinolone acet inj nos | 239 | 156 | $538.62 |
| 95923 | 72 | 62 | $459.12 | |
| 95943 | 16 | 13 | $219.32 | |
| J1885 | Ketorolac tromethamine inj | 179 | 108 | $74.58 |
| J1100 | Dexamethasone sodium phos | 237 | 156 | $63.72 |
| J0696 | Ceftriaxone sodium injection | 23 | 18 | $41.04 |
| 99490 | Ccm add 20min | 21 | 21 | $0.00 |
| 1036F | 298 | 231 | $0.00 | |
| 99457 | 13 | 13 | $0.00 | |
| 93922 | 34 | 14 | $0.00 | |
| 99454 | 13 | 13 | $0.00 |