NPI: 1609958628 · VICTORIA, TX 77905 · 101YP2500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,692 | $-613.15 |
| 2019 | 6,906 | $-887.50 |
| 2021 | 7,856 | $194K |
| 2022 | 4,118 | $172K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| M0116 | 10,104 | 341 | $117K | |
| M0115 | 10,800 | 373 | $111K | |
| H2016 | Comp comm supp svc, per diem | 364 | 13 | $63K |
| M0299 | 1,938 | 571 | $33K | |
| T2020 | Day habil waiver per diem | 649 | 33 | $25K |
| M0298 | 1,350 | 558 | $12K | |
| M0101 | 172 | 147 | $2K | |
| T1003 | Lpn/lvn services up to 15min | 25 | 23 | $536.65 |
| M0248 | Sotrovimab inf, home admin | 170 | 146 | $165.15 |