NPI: 1619989142 · RICHARDSON, TX 75080 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 29 | $2K |
| 2020 | 2,434 | $61K |
| 2021 | 9,972 | $291K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,268 | 1,173 | $65K | |
| 87637 | 345 | 332 | $49K | |
| 99213 | 1,204 | 1,130 | $44K | |
| 99393 | 449 | 448 | $37K | |
| 99394 | 400 | 399 | $36K | |
| 87635 | 551 | 506 | $28K | |
| 99392 | 326 | 323 | $26K | |
| 99212 | 511 | 478 | $12K | |
| 90460 | 1,470 | 717 | $12K | |
| 87880 | 601 | 582 | $8K | |
| 99429 | 260 | 249 | $8K | |
| 99000 | 633 | 566 | $6K | |
| 96110 | 629 | 488 | $5K | |
| 87804 | 277 | 139 | $4K | |
| 99211 | 239 | 220 | $3K | |
| 99391 | 44 | 44 | $3K | |
| 90461 | 433 | 354 | $3K | |
| 99202 | 52 | 52 | $2K | |
| 96372 | 101 | 90 | $1K | |
| 96160 | 457 | 457 | $1K | |
| 81003 | 287 | 274 | $567.54 | |
| 99050 | 33 | 33 | $493.02 | |
| 94640 | 33 | 31 | $472.23 | |
| 97804 | 1,048 | 1,038 | $0.00 | |
| 90620 | 16 | 16 | $0.00 | |
| J0696 | Ceftriaxone sodium injection | 18 | 15 | $0.00 |
| 90647 | 46 | 46 | $0.00 | |
| 90657 | 13 | 13 | $0.00 | |
| 90734 | 132 | 130 | $0.00 | |
| 90633 | 82 | 82 | $0.00 | |
| 90658 | 192 | 189 | $0.00 | |
| 90670 | 128 | 128 | $0.00 | |
| 90710 | 60 | 60 | $0.00 | |
| 90700 | 30 | 30 | $0.00 | |
| 90714 | 67 | 64 | $0.00 |