NPI: 1699745208 · TYLER, TX 75702 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43 | $337.12 |
| 2020 | 833 | $2K |
| 2021 | 3,980 | $23K |
| 2022 | 4,468 | $12K |
| 2023 | 3,353 | $10K |
| 2024 | 1,630 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90472 | 3,576 | 2,016 | $17K | |
| 90471 | 3,070 | 2,994 | $15K | |
| 0002A | 270 | 248 | $6K | |
| 0001A | 290 | 252 | $5K | |
| 0071A | 113 | 102 | $3K | |
| 87591 | 1,112 | 1,054 | $3K | |
| 87491 | 1,112 | 1,054 | $3K | |
| 0004A | 247 | 236 | $2K | |
| 0124A | 165 | 165 | $1K | |
| 0072A | 46 | 42 | $1K | |
| 0121A | 16 | 16 | $31.50 | |
| 90619 | 592 | 571 | $3.56 | |
| 90697 | 12 | 12 | $0.02 | |
| 91312 | 118 | 118 | $0.00 | |
| 90710 | 551 | 542 | $0.00 | |
| 90670 | 87 | 85 | $0.00 | |
| 91300 | 152 | 150 | $0.00 | |
| 90633 | 411 | 405 | $0.00 | |
| 90715 | 683 | 652 | $0.00 | |
| 90734 | 375 | 375 | $0.00 | |
| 90713 | 100 | 100 | $0.00 | |
| 90700 | 104 | 104 | $0.00 | |
| 90648 | 15 | 14 | $0.00 | |
| 90651 | 414 | 387 | $0.00 | |
| 90696 | 273 | 266 | $0.00 | |
| 90716 | 14 | 13 | $0.00 | |
| 90686 | 340 | 335 | $0.00 | |
| 90723 | 37 | 35 | $0.00 | |
| 90656 | 12 | 12 | $0.00 |