NPI: 1700192085 · FORT WORTH, TX 76105 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 390 | $21K |
| 2022 | 4,079 | $191K |
| 2023 | 7,847 | $440K |
| 2024 | 8,154 | $463K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,354 | 5,797 | $849K |
| 99213 | 3,181 | 2,234 | $176K | |
| 99391 | 584 | 572 | $41K | |
| 99214 | 366 | 345 | $24K | |
| 99392 | 310 | 308 | $21K | |
| 99393 | 29 | 29 | $2K | |
| 99385 | 12 | 12 | $2K | |
| 90460 | 3,861 | 1,550 | $610.68 | |
| 90461 | 928 | 775 | $67.10 | |
| 96110 | 1,226 | 1,052 | $57.82 | |
| 81003 | 157 | 130 | $9.45 | |
| 81025 | 20 | 19 | $7.23 | |
| 87804 | 95 | 87 | $0.00 | |
| 99173 | 343 | 341 | $0.00 | |
| 90648 | 54 | 51 | $0.00 | |
| 87880 | 74 | 71 | $0.00 | |
| 90670 | 183 | 181 | $0.00 | |
| 90681 | 26 | 26 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 92551 | 531 | 529 | $0.00 | |
| 90677 | 238 | 237 | $0.00 | |
| 90686 | 365 | 364 | $0.00 | |
| 90698 | 209 | 208 | $0.00 | |
| 90656 | 104 | 104 | $0.00 | |
| 96127 | 76 | 68 | $0.00 | |
| 90680 | 77 | 76 | $0.00 | |
| 90744 | 43 | 43 | $0.00 | |
| 90723 | 12 | 12 | $0.00 |