NPI: 1689161614 · ROSENBERG, TX 77469 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,233 | $67K |
| 2019 | 4,326 | $139K |
| 2020 | 1,123 | $37K |
| 2022 | 1,783 | $78K |
| 2023 | 1,884 | $74K |
| 2024 | 5,532 | $220K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,960 | 3,362 | $260K | |
| 99213 | 2,152 | 1,851 | $101K | |
| 99204 | 1,028 | 921 | $72K | |
| 87804 | 2,147 | 1,708 | $61K | |
| 87811 | 1,332 | 1,198 | $54K | |
| 87880 | 1,322 | 1,159 | $20K | |
| 99203 | 363 | 325 | $18K | |
| 87808 | 457 | 394 | $7K | |
| 81025 | 1,236 | 1,063 | $5K | |
| 99215 | Prolong outpt/office vis | 94 | 60 | $5K |
| 87905 | 462 | 377 | $4K | |
| 81002 | 1,301 | 1,144 | $3K | |
| 87807 | 301 | 265 | $3K | |
| 96372 | 129 | 114 | $1K | |
| 99384 | 17 | 16 | $833.44 | |
| 99383 | 17 | 17 | $671.10 | |
| 93000 | 15 | 13 | $310.10 | |
| 36415 | 411 | 365 | $267.80 | |
| J1885 | Ketorolac tromethamine inj | 12 | 12 | $21.09 |
| 94760 | 52 | 41 | $17.60 | |
| 99000 | 23 | 21 | $0.00 | |
| S9088 | Services provided in urgent | 50 | 40 | $0.00 |