NPI: 1659525236 · SAN ANTONIO, TX 78258 · 261QA1903X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,612 | $50K |
| 2022 | 1,942 | $47K |
| 2023 | 1,283 | $26K |
| 2024 | 1,294 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | 1,023 | 936 | $83K | |
| 99283 | 261 | 251 | $26K | |
| 80053 | 1,265 | 1,108 | $19K | |
| 93005 | 496 | 452 | $3K | |
| 85027 | 1,754 | 1,454 | $3K | |
| 80048 | 93 | 80 | $2K | |
| 71045 | 334 | 308 | $2K | |
| 88305 | 13 | 12 | $1K | |
| 96374 | 80 | 69 | $1K | |
| 81001 | 339 | 313 | $482.39 | |
| 84311 | 18 | 12 | $396.61 | |
| 82657 | 13 | 12 | $364.60 | |
| 88312 | 12 | 12 | $319.53 | |
| 70450 | 28 | 27 | $231.85 | |
| 84484 | 74 | 62 | $104.70 | |
| 83690 | 56 | 49 | $98.43 | |
| J2405 | Ondansetron hcl injection | 100 | 77 | $81.45 |
| 83735 | 17 | 12 | $67.44 | |
| 85610 | 30 | 27 | $11.15 | |
| J7030 | Normal saline solution infus | 28 | 24 | $6.47 |
| 81003 | 13 | 13 | $1.89 | |
| A9270 | Non-covered item or service | 84 | 39 | $0.00 |