NPI: 1588662027 · HEREFORD, TX 79045 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 161 | $17K |
| 2020 | 3,276 | $171K |
| 2021 | 25,643 | $802K |
| 2022 | 33,479 | $890K |
| 2023 | 28,895 | $839K |
| 2024 | 21,300 | $729K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 16,842 | 13,118 | $2.18M |
| D0999 | 3,878 | 3,532 | $661K | |
| 99213 | 9,816 | 8,361 | $259K | |
| 99214 | 2,611 | 2,414 | $73K | |
| 99392 | 921 | 912 | $53K | |
| 99393 | 664 | 648 | $38K | |
| G0467 | Fqhc visit, estab pt | 967 | 835 | $33K |
| 87804 | 4,142 | 1,991 | $32K | |
| 87426 | 2,290 | 2,158 | $28K | |
| 87880 | 3,098 | 2,938 | $24K | |
| 99394 | 365 | 349 | $22K | |
| 99391 | 294 | 293 | $19K | |
| 99212 | 191 | 183 | $4K | |
| 96372 | 429 | 399 | $3K | |
| 81003 | 1,798 | 1,343 | $2K | |
| 85027 | 735 | 687 | $2K | |
| 83036 | 454 | 434 | $2K | |
| 99203 | 41 | 39 | $1K | |
| 85025 | 333 | 315 | $1K | |
| 87807 | 174 | 161 | $1K | |
| 90834 | 17 | 13 | $936.70 | |
| 90472 | 2,465 | 1,187 | $662.11 | |
| D0230 | 1,238 | 635 | $632.79 | |
| D1110 | 403 | 399 | $630.01 | |
| D0120 | 1,778 | 1,752 | $518.46 | |
| D0274 | 425 | 417 | $512.32 | |
| 81025 | 127 | 116 | $486.94 | |
| D0220 | 687 | 671 | $467.02 | |
| D0330 | 233 | 230 | $426.24 | |
| 87428 | 25 | 25 | $389.85 | |
| D0150 | 257 | 248 | $383.45 | |
| D1120 | 483 | 479 | $367.50 | |
| 90677 | 71 | 70 | $198.20 | |
| 90471 | 1,775 | 1,758 | $181.75 | |
| D1208 | 412 | 410 | $161.70 | |
| 99211 | 30 | 30 | $119.68 | |
| 90633 | 49 | 49 | $118.81 | |
| 90707 | 16 | 16 | $118.81 | |
| 90670 | 234 | 234 | $118.81 | |
| 90658 | 69 | 67 | $32.24 | |
| D1206 | 753 | 741 | $29.40 | |
| 90686 | 355 | 341 | $18.47 | |
| 92551 | 756 | 733 | $13.63 | |
| J0696 | Ceftriaxone sodium injection | 13 | 12 | $8.96 |
| 90619 | 14 | 13 | $0.08 | |
| 1036F | 4,448 | 3,595 | $0.01 | |
| 90688 | 88 | 85 | $0.01 | |
| 3078F | 4,429 | 3,768 | $0.00 | |
| 1159F | 5,885 | 4,836 | $0.00 | |
| 99173 | 868 | 835 | $0.00 | |
| 3725F | 147 | 140 | $0.00 | |
| 1160F | 5,887 | 4,836 | $0.00 | |
| 4013F | 41 | 37 | $0.00 | |
| 90662 | 12 | 12 | $0.00 | |
| 90648 | 14 | 14 | $0.00 | |
| 3077F | 15 | 13 | $0.00 | |
| 1091F | 22 | 19 | $0.00 | |
| 90687 | 13 | 13 | $0.00 | |
| 90671 | 12 | 12 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| 90710 | 14 | 14 | $0.00 | |
| 3008F | 6,366 | 5,322 | $0.00 | |
| 1126F | 4,269 | 3,696 | $0.00 | |
| 1125F | 2,125 | 1,908 | $0.00 | |
| D0603 | 958 | 947 | $0.00 | |
| D0602 | 209 | 206 | $0.00 | |
| 3075F | 358 | 331 | $0.00 | |
| D0601 | 751 | 742 | $0.00 | |
| 3074F | 4,739 | 3,999 | $0.00 | |
| 2001F | 6,536 | 5,407 | $0.00 | |
| G0008 | Admin influenza virus vac | 28 | 28 | $0.00 |
| 36415 | 556 | 533 | $0.00 | |
| 90698 | 96 | 96 | $0.00 | |
| 3079F | 899 | 799 | $0.00 | |
| 90680 | 77 | 77 | $0.00 | |
| 90474 | 26 | 26 | $0.00 | |
| 90651 | 15 | 15 | $0.00 | |
| D0272 | 28 | 26 | $0.00 | |
| 3048F | 14 | 13 | $0.00 | |
| 90744 | 12 | 12 | $0.00 | |
| 90696 | 13 | 13 | $0.00 | |
| 90697 | 30 | 30 | $0.00 | |
| 90723 | 14 | 14 | $0.00 |