NPI: 1528172665 · MISSION, TX 78574 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,276 | $30K |
| 2021 | 11,849 | $289K |
| 2022 | 13,387 | $318K |
| 2023 | 12,084 | $300K |
| 2024 | 10,600 | $270K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 13,157 | 10,310 | $472K | |
| 99392 | 1,277 | 1,226 | $98K | |
| 99393 | 1,039 | 1,002 | $83K | |
| 99214 | 1,568 | 1,431 | $78K | |
| 99394 | 873 | 810 | $70K | |
| 90460 | 5,118 | 1,932 | $52K | |
| 87880 | 3,956 | 3,607 | $52K | |
| 99391 | 707 | 680 | $51K | |
| 87426 | 1,156 | 1,059 | $48K | |
| 99212 | 1,959 | 1,787 | $47K | |
| 87804 | 2,568 | 1,174 | $32K | |
| 99429 | 1,039 | 988 | $29K | |
| 85025 | 3,930 | 3,620 | $24K | |
| 99000 | 1,718 | 1,613 | $17K | |
| 92567 | 1,295 | 1,199 | $15K | |
| 96110 | 1,781 | 1,338 | $14K | |
| S8301 | Infect control supplies nos | 344 | 317 | $8K |
| 87807 | 578 | 541 | $6K | |
| 90461 | 1,510 | 1,228 | $5K | |
| 99050 | 282 | 270 | $4K | |
| 96160 | 736 | 697 | $1K | |
| 81005 | 376 | 343 | $644.28 | |
| 94640 | 29 | 26 | $386.37 | |
| 99354 | 14 | 12 | $237.20 | |
| 85651 | 63 | 54 | $157.96 | |
| 86580 | 12 | 12 | $77.52 | |
| 90658 | 134 | 130 | $61.90 | |
| J7611 | Albuterol non-comp con | 29 | 26 | $6.12 |
| 96161 | 20 | 20 | $2.25 | |
| 90680 | 237 | 229 | $0.00 | |
| 96127 | 21 | 15 | $0.00 | |
| 90686 | 29 | 29 | $0.00 | |
| 90651 | 30 | 25 | $0.00 | |
| 90716 | 131 | 123 | $0.00 | |
| 90723 | 44 | 44 | $0.00 | |
| 90648 | 324 | 309 | $0.00 | |
| 99188 | 100 | 100 | $0.00 | |
| 90707 | 129 | 121 | $0.00 | |
| 90670 | 643 | 608 | $0.00 | |
| 90633 | 164 | 163 | $0.00 | |
| 90700 | 13 | 13 | $0.00 | |
| 90734 | 49 | 44 | $0.00 | |
| 90715 | 14 | 12 | $0.00 |