NPI: 1730367541 · WICHITA FALLS, TX 76301 · 207ZP0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $118.68 |
| 2019 | 26 | $89.01 |
| 2020 | 88 | $3K |
| 2021 | 1,257 | $52K |
| 2022 | 1,011 | $42K |
| 2023 | 625 | $20K |
| 2024 | 3,661 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0003 | Cov-19 amp prb hgh thruput | 630 | 620 | $46K |
| 88307 | 581 | 554 | $33K | |
| 88305 | 669 | 642 | $18K | |
| U0005 | Infec agen detec ampli probe | 628 | 619 | $15K |
| 88175 | 845 | 768 | $14K | |
| 87624 | 226 | 201 | $5K | |
| 87591 | 61 | 56 | $1K | |
| 87491 | 61 | 56 | $1K | |
| 88304 | 141 | 136 | $1K | |
| 87661 | 42 | 40 | $1K | |
| 87635 | 79 | 76 | $987.55 | |
| 88342 | 13 | 13 | $272.57 | |
| 87502 | 39 | 38 | $250.00 | |
| 85025 | 678 | 491 | $220.64 | |
| 80053 | 453 | 340 | $127.33 | |
| 80306 | 36 | 35 | $57.60 | |
| 87651 | 58 | 56 | $50.00 | |
| 81001 | 179 | 166 | $44.31 | |
| 88300 | 16 | 16 | $14.06 | |
| 84484 | 58 | 51 | $9.95 | |
| 82330 | 16 | 15 | $0.00 | |
| 87086 | 32 | 30 | $0.00 | |
| 82435 | 15 | 14 | $0.00 | |
| 83605 | 21 | 19 | $0.00 | |
| 83880 | 14 | 14 | $0.00 | |
| 86880 | 37 | 36 | $0.00 | |
| 83036 | 16 | 16 | $0.00 | |
| 86850 | 47 | 40 | $0.00 | |
| 82077 | 13 | 13 | $0.00 | |
| 85730 | 26 | 23 | $0.00 | |
| 85027 | 20 | 14 | $0.00 | |
| 84132 | 18 | 16 | $0.00 | |
| 85018 | 34 | 30 | $0.00 | |
| 87040 | 20 | 19 | $0.00 | |
| 83690 | 45 | 40 | $0.00 | |
| 82962 | 111 | 60 | $0.00 | |
| 84443 | 16 | 14 | $0.00 | |
| 84703 | 50 | 48 | $0.00 | |
| 86901 | 48 | 43 | $0.00 | |
| 82803 | 23 | 22 | $0.00 | |
| 87340 | 22 | 21 | $0.00 | |
| 86140 | 15 | 12 | $0.00 | |
| 80048 | 36 | 30 | $0.00 | |
| 82150 | 18 | 16 | $0.00 | |
| 83735 | 95 | 34 | $0.00 | |
| 81003 | 107 | 89 | $0.00 | |
| 85610 | 37 | 30 | $0.00 | |
| 84100 | 67 | 23 | $0.00 | |
| 84295 | 15 | 14 | $0.00 | |
| 85014 | 19 | 16 | $0.00 | |
| 80307 | 16 | 12 | $0.00 | |
| 84145 | 35 | 14 | $0.00 | |
| 84702 | 17 | 15 | $0.00 | |
| 82947 | 17 | 16 | $0.00 | |
| 81025 | 16 | 15 | $0.00 | |
| 86900 | 47 | 42 | $0.00 |