NPI: 1528436565 · FORT WORTH, TX 76132 · 207RC0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 431 | $152.53 |
| 2021 | 12,325 | $12K |
| 2022 | 4,224 | $22K |
| 2023 | 2,760 | $28K |
| 2024 | 229 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87635 | 3,039 | 2,317 | $19K | |
| G2023 | Specimen collect covid-19 | 3,415 | 2,603 | $15K |
| U0003 | Cov-19 amp prb hgh thruput | 357 | 244 | $10K |
| 87811 | 1,874 | 1,661 | $7K | |
| 99211 | 3,424 | 2,533 | $5K | |
| 99212 | 416 | 341 | $3K | |
| 99000 | 3,397 | 2,593 | $2K | |
| 93923 | 43 | 16 | $915.50 | |
| 93880 | 31 | 16 | $739.30 | |
| 93925 | 31 | 16 | $734.05 | |
| 93970 | 31 | 16 | $733.30 | |
| 93979 | 31 | 16 | $498.75 | |
| 99213 | 40 | 26 | $350.47 | |
| 99202 | 71 | 61 | $44.65 | |
| 87581 | 69 | 58 | $28.01 | |
| 93005 | 15 | 14 | $0.00 | |
| 99072 | 3,202 | 2,584 | $0.00 | |
| 87798 | 69 | 58 | $0.00 | |
| 87631 | 69 | 58 | $0.00 | |
| 93010 | 16 | 15 | $0.00 | |
| 93306 | 31 | 16 | $0.00 | |
| 87486 | 69 | 58 | $0.00 | |
| 87541 | 69 | 58 | $0.00 | |
| 86769 | 22 | 20 | $0.00 | |
| 87640 | 69 | 58 | $0.00 | |
| 87498 | 69 | 58 | $0.00 |