NPI: 1518945997 · ODESSA, TX 79761 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 590 | $11K |
| 2019 | 107 | $5K |
| 2020 | 3,051 | $58K |
| 2021 | 18,176 | $336K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99391 | 1,597 | 1,373 | $117K | |
| 99392 | 994 | 985 | $75K | |
| 90460 | 6,082 | 2,315 | $46K | |
| 99213 | 1,204 | 1,128 | $42K | |
| 99429 | 1,157 | 1,142 | $36K | |
| 99393 | 343 | 338 | $27K | |
| 96110 | 2,031 | 2,011 | $16K | |
| 99212 | 595 | 579 | $13K | |
| 90461 | 1,528 | 1,338 | $10K | |
| 99394 | 97 | 95 | $8K | |
| 99460 | 101 | 101 | $8K | |
| 99238 | 101 | 101 | $6K | |
| G8510 | Scr dep neg, no plan reqd | 231 | 218 | $3K |
| 87807 | 179 | 171 | $2K | |
| 87804 | 150 | 141 | $2K | |
| 69210 | 45 | 45 | $977.86 | |
| 90670 | 991 | 980 | $0.00 | |
| 90734 | 14 | 14 | $0.00 | |
| 90633 | 367 | 363 | $0.00 | |
| 90700 | 152 | 150 | $0.00 | |
| 90707 | 341 | 337 | $0.00 | |
| 90696 | 54 | 54 | $0.00 | |
| 90651 | 14 | 14 | $0.00 | |
| 90647 | 730 | 722 | $0.00 | |
| 90680 | 708 | 700 | $0.00 | |
| 90723 | 757 | 749 | $0.00 | |
| 90716 | 356 | 351 | $0.00 | |
| 90686 | 1,005 | 990 | $0.00 |