NPI: 1710164215 · MISSION, TX 78572 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 33 | $1K |
| 2020 | 394 | $6K |
| 2021 | 2,949 | $71K |
| 2022 | 4,201 | $106K |
| 2023 | 4,277 | $100K |
| 2024 | 6,472 | $157K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 6,765 | 4,773 | $245K | |
| 87811 | 1,133 | 1,014 | $45K | |
| 99392 | 356 | 348 | $27K | |
| 90460 | 2,456 | 1,068 | $26K | |
| 87804 | 1,529 | 754 | $20K | |
| 85025 | 2,696 | 2,372 | $17K | |
| 99214 | 312 | 283 | $17K | |
| 99393 | 133 | 129 | $11K | |
| 99212 | 332 | 292 | $8K | |
| 99394 | 91 | 91 | $8K | |
| 99050 | 429 | 314 | $6K | |
| 99391 | 67 | 64 | $5K | |
| 99051 | 308 | 261 | $2K | |
| 99203 | 27 | 27 | $2K | |
| 96110 | 130 | 104 | $1K | |
| 87880 | 60 | 55 | $763.95 | |
| 90461 | 75 | 61 | $629.28 | |
| 96372 | 47 | 45 | $596.25 | |
| 0071A | 15 | 14 | $350.00 | |
| 87807 | 27 | 24 | $297.00 | |
| 96160 | 46 | 46 | $63.00 | |
| 97802 | 759 | 733 | $0.23 | |
| 90686 | 54 | 53 | $0.19 | |
| 90677 | 13 | 13 | $0.03 | |
| 90658 | 173 | 164 | $0.02 | |
| 90648 | 12 | 12 | $0.00 | |
| 90734 | 13 | 12 | $0.00 | |
| 90670 | 28 | 28 | $0.00 | |
| 91307 | 18 | 14 | $0.00 | |
| G0447 | Behavior counsel obesity 15m | 210 | 205 | $0.00 |
| J0696 | Ceftriaxone sodium injection | 12 | 12 | $0.00 |