NPI: 1578141552 · ODESSA, TX 79762 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,449 | $243K |
| 2022 | 16,699 | $777K |
| 2023 | 21,923 | $1.14M |
| 2024 | 22,558 | $1.26M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 19,970 | 15,629 | $2.53M |
| 99214 | 4,996 | 4,318 | $180K | |
| 99213 | 5,942 | 5,021 | $177K | |
| 99392 | 2,007 | 1,867 | $104K | |
| 99391 | 2,161 | 1,912 | $100K | |
| 99393 | 1,471 | 1,331 | $78K | |
| 90460 | 8,575 | 5,069 | $45K | |
| 87428 | 2,755 | 2,456 | $43K | |
| 99394 | 693 | 656 | $42K | |
| 99383 | 497 | 460 | $29K | |
| 99381 | 470 | 452 | $24K | |
| 99382 | 379 | 355 | $22K | |
| 87880 | 2,109 | 1,890 | $12K | |
| 96110 | 1,635 | 1,541 | $7K | |
| 87807 | 958 | 853 | $5K | |
| 99203 | 85 | 67 | $3K | |
| 87804 | 425 | 205 | $3K | |
| 90461 | 1,122 | 829 | $1K | |
| 99384 | 12 | 12 | $1K | |
| 99212 | 75 | 69 | $981.03 | |
| 94640 | 49 | 42 | $620.22 | |
| J0561 | Penicillin g benzathine inj | 32 | 24 | $567.29 |
| 90686 | 1,448 | 1,286 | $333.70 | |
| 96380 | 77 | 75 | $305.44 | |
| 96372 | 56 | 44 | $195.67 | |
| 90633 | 1,112 | 1,058 | $195.31 | |
| J7613 | Albuterol non-comp unit | 40 | 29 | $140.79 |
| 90710 | 415 | 396 | $138.39 | |
| 90696 | 280 | 248 | $138.39 | |
| 90471 | 178 | 159 | $128.04 | |
| 81003 | 86 | 71 | $54.81 | |
| 88720 | 31 | 25 | $50.64 | |
| 90472 | 41 | 28 | $38.81 | |
| 90619 | 228 | 220 | $1.13 | |
| 90707 | 252 | 203 | $0.00 | |
| 90681 | 228 | 227 | $0.00 | |
| 90715 | 228 | 208 | $0.00 | |
| 90648 | 403 | 338 | $0.00 | |
| 90380 | 62 | 60 | $0.00 | |
| 90670 | 1,209 | 1,019 | $0.00 | |
| 90700 | 212 | 192 | $0.00 | |
| 90671 | 46 | 45 | $0.00 | |
| 90734 | 107 | 88 | $0.00 | |
| 90697 | 862 | 816 | $0.00 | |
| 90680 | 637 | 561 | $0.00 | |
| 96127 | 615 | 582 | $0.00 | |
| 90651 | 540 | 489 | $0.00 | |
| 90677 | 772 | 762 | $0.00 | |
| 90716 | 467 | 413 | $0.00 | |
| 90698 | 339 | 326 | $0.00 | |
| 90656 | 200 | 197 | $0.00 | |
| 90723 | 40 | 40 | $0.00 |