NPI: 1710199872 · ALICE, TX 78332 · 207RC0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,354 | $24K |
| 2019 | 5,408 | $19K |
| 2020 | 2,443 | $23K |
| 2021 | 2,472 | $37K |
| 2022 | 1,946 | $38K |
| 2023 | 2,913 | $32K |
| 2024 | 2,686 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 8,027 | 7,660 | $123K | |
| 93306 | 2,216 | 1,631 | $42K | |
| 93010 | 7,091 | 5,581 | $9K | |
| Q3014 | Telehealth facility fee | 1,064 | 1,042 | $7K |
| 78452 | 451 | 267 | $4K | |
| 93000 | 521 | 509 | $3K | |
| 93005 | 1,734 | 1,725 | $2K | |
| A9502 | Tc99m tetrofosmin | 110 | 110 | $2K |
| 99212 | 208 | 208 | $2K | |
| 99211 | 382 | 345 | $1K | |
| 93296 | 273 | 271 | $1K | |
| 93925 | 110 | 65 | $1K | |
| 93294 | 140 | 139 | $595.75 | |
| 93017 | 116 | 116 | $556.36 | |
| 93922 | 73 | 41 | $339.72 | |
| 99223 | Prolong inpt eval add15 m | 29 | 29 | $115.74 |
| 93016 | 263 | 261 | $68.59 | |
| 99442 | 15 | 14 | $66.54 | |
| 93224 | 12 | 12 | $45.00 | |
| 93018 | 263 | 261 | $44.92 | |
| G2012 | Brief check in by md/qhp | 22 | 21 | $24.32 |
| CP002 | 64 | 38 | $0.00 | |
| J0153 | Adenosine inj 1mg | 24 | 24 | $0.00 |
| 99213 | 14 | 14 | $0.00 |