NPI: 1679804819 · WICHITA FALLS, TX 76301 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 139 | $0.00 |
| 2021 | 4,456 | $19K |
| 2022 | 2,421 | $99K |
| 2023 | 2,282 | $0.00 |
| 2024 | 434 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,546 | 156 | $114K | |
| J0887 | Epoetin beta esrd use | 81 | 40 | $4K |
| A4657 | Syringe w/wo needle | 2,832 | 580 | $0.00 |
| G0307 | Cbc without platelet | 411 | 409 | $0.00 |
| 80051 | 343 | 335 | $0.00 | |
| 82040 | 318 | 307 | $0.00 | |
| 83735 | 202 | 200 | $0.00 | |
| 83550 | 611 | 606 | $0.00 | |
| 82728 | 257 | 250 | $0.00 | |
| 85018 | 330 | 138 | $0.00 | |
| 80069 | 131 | 131 | $0.00 | |
| 84075 | 159 | 158 | $0.00 | |
| 82746 | 45 | 45 | $0.00 | |
| 85027 | 30 | 30 | $0.00 | |
| 82108 | 146 | 144 | $0.00 | |
| 84520 | 451 | 265 | $0.00 | |
| 82310 | 269 | 238 | $0.00 | |
| 83540 | 673 | 663 | $0.00 | |
| 84100 | 44 | 38 | $0.00 | |
| 84155 | 424 | 422 | $0.00 | |
| 82565 | 247 | 238 | $0.00 | |
| 83970 | 182 | 180 | $0.00 |