NPI: 1578631024 · TYLER, TX 75703 · 310400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36 | $33K |
| 2020 | 530 | $30K |
| 2021 | 31,880 | $4.46M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| M0355 | 17,731 | 857 | $2.87M | |
| M0361 | 8,432 | 575 | $1.11M | |
| M0241 | Casiri and imdev repeat hm | 2,017 | 346 | $214K |
| M0145 | 789 | 261 | $84K | |
| M0111 | 485 | 485 | $75K | |
| M0209 | 445 | 445 | $69K | |
| M0373 | 746 | 159 | $45K | |
| T2016 | Habil res waiver per diem | 36 | 12 | $33K |
| T2040 | Financial mgt waiver/15min | 1,765 | 134 | $16K |