NPI: 1689630865 · PORT LAVACA, TX 77979 · 282NC0060X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 179 | $16K |
| 2021 | 6,106 | $386K |
| 2022 | 6,744 | $577K |
| 2023 | 5,121 | $396K |
| 2024 | 1,475 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87506 | 1,480 | 1,444 | $453K | |
| 99284 | 1,225 | 1,190 | $377K | |
| 99283 | 2,960 | 2,853 | $354K | |
| 99285 | 449 | 421 | $130K | |
| 87633 | 81 | 77 | $26K | |
| 87651 | 626 | 597 | $24K | |
| 80053 | 2,722 | 2,436 | $14K | |
| 87502 | 118 | 114 | $13K | |
| 85025 | 3,085 | 2,710 | $12K | |
| 87635 | 323 | 310 | $9K | |
| 93005 | 275 | 219 | $6K | |
| 81001 | 1,807 | 1,673 | $4K | |
| 70450 | 12 | 12 | $3K | |
| 71045 | 113 | 107 | $3K | |
| 87491 | 36 | 36 | $1K | |
| 84443 | 482 | 468 | $937.53 | |
| 99282 | 13 | 12 | $865.49 | |
| 96372 | 144 | 136 | $583.70 | |
| 80061 | 386 | 377 | $558.79 | |
| 81025 | 27 | 26 | $280.10 | |
| 83036 | 201 | 199 | $164.18 | |
| 87086 | 110 | 104 | $144.80 | |
| J1885 | Ketorolac tromethamine inj | 12 | 12 | $109.68 |
| 87186 | 53 | 52 | $40.30 | |
| 87077 | 67 | 66 | $37.64 | |
| 93041 | 19 | 19 | $34.88 | |
| 82306 | 16 | 16 | $28.42 | |
| 82550 | 132 | 110 | $26.73 | |
| 83874 | 82 | 70 | $17.70 | |
| 84484 | 115 | 96 | $17.08 | |
| 82553 | 115 | 96 | $15.82 | |
| 36415 | 2,090 | 1,672 | $7.39 | |
| 85610 | 13 | 12 | $4.12 | |
| 87088 | 104 | 98 | $0.13 | |
| 96374 | 65 | 64 | $0.00 | |
| 83880 | 25 | 25 | $0.00 | |
| J3490 | Drugs unclassified injection | 29 | 29 | $0.00 |
| 96375 | 13 | 12 | $0.00 |