NPI: 1508861196 · RIO GRANDE CITY, TX 78582 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 990 | $17K |
| 2021 | 7,300 | $169K |
| 2022 | 8,003 | $188K |
| 2023 | 828 | $9K |
| 2024 | 867 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,901 | 3,925 | $148K | |
| 87811 | 2,097 | 1,913 | $71K | |
| S8301 | Infect control supplies nos | 2,886 | 2,505 | $62K |
| 99393 | 379 | 362 | $27K | |
| 87804 | 2,029 | 947 | $23K | |
| 87880 | 1,916 | 1,785 | $22K | |
| 99394 | 123 | 113 | $9K | |
| 99392 | 120 | 112 | $7K | |
| 90460 | 1,100 | 420 | $7K | |
| 87809 | 274 | 262 | $5K | |
| 85025 | 410 | 386 | $3K | |
| 87807 | 157 | 147 | $2K | |
| 90461 | 215 | 144 | $2K | |
| 81002 | 317 | 297 | $890.60 | |
| 99000 | 87 | 79 | $840.53 | |
| 96110 | 35 | 25 | $268.62 | |
| G9716 | Bmi doc onl fup not cmpltd | 230 | 230 | $255.00 |
| 96161 | 54 | 49 | $77.09 | |
| 99406 | 162 | 136 | $49.76 | |
| 97802 | 224 | 224 | $27.51 | |
| S9451 | Exercise class | 224 | 224 | $0.00 |
| 97169 | 31 | 18 | $0.00 | |
| 90686 | 17 | 17 | $0.00 |