NPI: 1659362630 · LA GRANGE, TX 78945 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 28 | $2K |
| 2021 | 1,699 | $52K |
| 2022 | 2,155 | $46K |
| 2023 | 845 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | 361 | 334 | $40K | |
| 99283 | 220 | 208 | $36K | |
| 94761 | 539 | 512 | $17K | |
| U0003 | Cov-19 amp prb hgh thruput | 70 | 63 | $8K |
| CP008 | 74 | 57 | $3K | |
| C9803 | Hopd covid-19 spec collect | 196 | 184 | $3K |
| 80053 | 596 | 553 | $2K | |
| 85025 | 843 | 715 | $2K | |
| 71045 | 60 | 58 | $616.15 | |
| 81001 | 413 | 387 | $524.06 | |
| 93005 | 76 | 70 | $400.57 | |
| 99285 | 28 | 24 | $292.97 | |
| 0241U | 12 | 12 | $230.48 | |
| 0240U | 27 | 26 | $157.86 | |
| 87088 | 53 | 50 | $88.64 | |
| 80048 | 116 | 92 | $77.47 | |
| 84484 | 60 | 51 | $53.86 | |
| 84443 | 13 | 13 | $32.26 | |
| 36415 | 906 | 767 | $1.00 | |
| 0012A | 17 | 17 | $0.00 | |
| 83735 | 31 | 24 | $0.00 | |
| 0011A | 16 | 16 | $0.00 |