NPI: 1669732178 · HOUSTON, TX 77015 · 261QA1903X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,256 | $101K |
| 2021 | 2,736 | $41K |
| 2022 | 2,229 | $12K |
| 2023 | 677 | $3K |
| 2024 | 631 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 86328 | 269 | 254 | $62K | |
| U0002 | Covid-19 lab test non-cdc | 744 | 672 | $50K |
| G0463 | Hospital outpt clinic visit | 4,442 | 3,309 | $21K |
| 99282 | 356 | 333 | $20K | |
| 81002 | 1,572 | 857 | $5K | |
| 0011A | 42 | 41 | $985.27 | |
| 0002A | 32 | 32 | $579.69 | |
| 11721 | 12 | 12 | $452.10 | |
| U0003 | Cov-19 amp prb hgh thruput | 13 | 12 | $225.00 |
| 0012A | 15 | 15 | $41.02 | |
| 0001A | 19 | 19 | $39.10 | |
| 85025 | 13 | 13 | $21.94 |