NPI: 1720318744 · ALTON, TX 78573 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,141 | $74K |
| 2019 | 1,680 | $66K |
| 2020 | 4,392 | $118K |
| 2021 | 19,422 | $470K |
| 2022 | 24,981 | $689K |
| 2023 | 18,983 | $525K |
| 2024 | 11,919 | $344K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87502 | 6,052 | 5,445 | $460K | |
| 99213 | 10,373 | 9,111 | $323K | |
| 87811 | 5,437 | 4,846 | $213K | |
| 99214 | 4,725 | 4,353 | $204K | |
| 87651 | 6,294 | 5,667 | $177K | |
| 99444 | 2,096 | 587 | $120K | |
| 99394 | 1,337 | 1,309 | $109K | |
| 99393 | 1,223 | 1,207 | $94K | |
| S8301 | Infect control supplies nos | 6,133 | 5,386 | $81K |
| 90460 | 6,127 | 3,131 | $65K | |
| 99392 | 863 | 841 | $63K | |
| 99423 | 1,023 | 289 | $59K | |
| 87804 | 3,786 | 1,680 | $47K | |
| 87635 | 838 | 693 | $34K | |
| 99212 | 1,514 | 1,437 | $34K | |
| 96372 | 3,001 | 2,770 | $30K | |
| 99391 | 410 | 378 | $28K | |
| 87880 | 1,759 | 1,567 | $22K | |
| 99211 | 1,683 | 1,577 | $18K | |
| 85025 | 3,083 | 2,936 | $15K | |
| 84443 | 1,260 | 1,196 | $14K | |
| 86580 | 1,610 | 1,572 | $12K | |
| 99203 | 201 | 194 | $10K | |
| 99000 | 1,038 | 977 | $9K | |
| 82306 | 430 | 398 | $8K | |
| 90461 | 739 | 595 | $5K | |
| 84439 | 631 | 586 | $4K | |
| 83036 | 502 | 483 | $3K | |
| 83037 | 701 | 675 | $3K | |
| 90674 | 249 | 237 | $3K | |
| 82570 | 1,046 | 978 | $3K | |
| J1030 | Methylprednisolone 40 mg inj | 411 | 371 | $3K |
| 96110 | 322 | 320 | $2K | |
| 99395 | 30 | 26 | $2K | |
| 81002 | 562 | 540 | $1K | |
| 81003 | 949 | 887 | $1K | |
| 90471 | 126 | 119 | $1K | |
| 97169 | 28 | 28 | $1K | |
| G2063 | Qual nonmd est pt 21>min | 126 | 35 | $1K |
| 99421 | 287 | 85 | $819.59 | |
| 99429 | 24 | 24 | $795.27 | |
| 99457 | 264 | 252 | $417.67 | |
| J1100 | Dexamethasone sodium phos | 693 | 664 | $282.78 |
| J0696 | Ceftriaxone sodium injection | 430 | 394 | $226.16 |
| J1200 | Diphenhydramine hcl injectio | 184 | 165 | $166.89 |
| 90661 | 12 | 12 | $76.21 | |
| J1885 | Ketorolac tromethamine inj | 87 | 85 | $46.27 |
| 90686 | 1,610 | 1,574 | $36.86 | |
| J2550 | Promethazine hcl injection | 15 | 13 | $30.68 |
| 90651 | 225 | 220 | $0.18 | |
| 90620 | 89 | 86 | $0.10 | |
| 90619 | 23 | 23 | $0.10 | |
| 90698 | 29 | 29 | $0.00 | |
| 90680 | 26 | 26 | $0.00 | |
| G0008 | Admin influenza virus vac | 92 | 90 | $0.00 |
| 90733 | 32 | 32 | $0.00 | |
| 90744 | 14 | 14 | $0.00 | |
| 36415 | 73 | 68 | $0.00 | |
| 90656 | 246 | 239 | $0.00 | |
| 90716 | 12 | 12 | $0.00 | |
| 90670 | 115 | 113 | $0.00 | |
| 90658 | 13 | 13 | $0.00 | |
| 90734 | 108 | 104 | $0.00 | |
| 90707 | 12 | 12 | $0.00 | |
| G8482 | Flu immunize order/admin | 37 | 34 | $0.00 |
| 90715 | 16 | 16 | $0.00 | |
| 90633 | 14 | 14 | $0.00 | |
| 90756 | 18 | 17 | $0.00 |