NPI: 1649891037 · RIO GRANDE CITY, TX 78582 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,226 | $35K |
| 2021 | 4,273 | $75K |
| 2022 | 3,832 | $76K |
| 2023 | 3,516 | $60K |
| 2024 | 1,032 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,993 | 3,434 | $106K | |
| 99214 | 4,302 | 3,064 | $88K | |
| 99423 | 849 | 238 | $49K | |
| 99490 | Ccm add 20min | 1,370 | 1,348 | $5K |
| 99491 | Ccm add 20min | 1,797 | 1,791 | $5K |
| 99203 | 64 | 58 | $1K | |
| 99395 | 29 | 26 | $995.95 | |
| 99439 | 455 | 454 | $885.24 | |
| 0013A | 33 | 33 | $200.00 | |
| 0064A | 50 | 49 | $200.00 | |
| 99204 | 86 | 83 | $182.62 | |
| 99457 | 344 | 344 | $18.97 | |
| T1015 | Clinic service | 14 | 12 | $0.00 |
| G0439 | Ppps, subseq visit | 45 | 44 | $0.00 |
| 0012A | 18 | 18 | $0.00 | |
| 99458 | 344 | 344 | $0.00 | |
| 0011A | 17 | 17 | $0.00 | |
| 0031A | 69 | 68 | $0.00 |