NPI: 1649447236 · FORT WORTH, TX 76119 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 163 | $2K |
| 2019 | 186 | $2K |
| 2020 | 6,189 | $226K |
| 2021 | 52,900 | $1.74M |
| 2022 | 57,247 | $1.84M |
| 2023 | 64,201 | $2.15M |
| 2024 | 57,025 | $1.73M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 13,093 | 5,819 | $1.26M | |
| D2930 | 6,214 | 1,170 | $887K | |
| D2391 | 10,227 | 4,621 | $763K | |
| D0145 | 4,895 | 4,870 | $681K | |
| D0120 | 19,996 | 19,826 | $553K | |
| D1120 | 14,152 | 14,010 | $495K | |
| D1351 | 18,225 | 5,323 | $458K | |
| D1110 | 7,573 | 7,495 | $392K | |
| D1208 | 22,639 | 22,406 | $317K | |
| D0230 | 26,816 | 22,307 | $278K | |
| D0220 | 24,306 | 23,961 | $276K | |
| D0274 | 8,136 | 8,060 | $259K | |
| D9230 | 8,517 | 8,164 | $223K | |
| D0272 | 10,103 | 10,017 | $221K | |
| D3220 | 1,649 | 570 | $133K | |
| D9248 | 910 | 895 | $102K | |
| D0150 | 2,460 | 2,414 | $82K | |
| D9223 | 896 | 394 | $45K | |
| D2393 | 384 | 249 | $38K | |
| D0210 | 483 | 477 | $32K | |
| D9222 | 403 | 396 | $29K | |
| D7140 | 461 | 230 | $28K | |
| D0140 | 1,557 | 1,532 | $27K | |
| D0160 | 1,693 | 1,648 | $24K | |
| D0330 | 1,023 | 1,012 | $24K | |
| D2934 | 144 | 43 | $20K | |
| D1330 | 1,654 | 1,613 | $18K | |
| D9612 | 287 | 282 | $8K | |
| D2330 | 50 | 26 | $4K | |
| D2950 | 32 | 26 | $1K | |
| D3910 | 32 | 25 | $143.36 | |
| D0270 | 16 | 16 | $73.50 | |
| D0603 | 28,885 | 28,651 | $0.02 |