NPI: 1740227495 · DALLAS, TX 75207 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,948 | $18K |
| 2019 | 2,986 | $21K |
| 2020 | 4,042 | $139K |
| 2021 | 7,569 | $154K |
| 2022 | 5,654 | $58K |
| 2023 | 3,644 | $64K |
| 2024 | 4,016 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87801 | 7,531 | 7,451 | $378K | |
| 90472 | 6,399 | 3,296 | $49K | |
| 90471 | 6,151 | 5,861 | $43K | |
| 99203 | 269 | 265 | $12K | |
| 99202 | 360 | 357 | $11K | |
| 99201 | 441 | 440 | $9K | |
| 87661 | 393 | 386 | $9K | |
| 99213 | 186 | 181 | $5K | |
| 90619 | 54 | 49 | $3K | |
| 90480 | 120 | 108 | $3K | |
| 86580 | 369 | 363 | $2K | |
| 99204 | 12 | 12 | $893.64 | |
| 99212 | 44 | 42 | $815.78 | |
| 71045 | 51 | 51 | $759.03 | |
| 90651 | 662 | 632 | $746.69 | |
| 90632 | 187 | 171 | $605.66 | |
| 90688 | 1,310 | 1,287 | $553.97 | |
| 90716 | 242 | 237 | $307.29 | |
| 99211 | 17 | 17 | $200.80 | |
| 90715 | 724 | 700 | $157.22 | |
| 90746 | 142 | 139 | $121.33 | |
| 86592 | 28 | 28 | $89.56 | |
| 90734 | 409 | 392 | $0.53 | |
| 90707 | 137 | 132 | $0.43 | |
| 90654 | 19 | 19 | $0.17 | |
| 90620 | 96 | 93 | $0.14 | |
| 90670 | 328 | 327 | $0.10 | |
| 90633 | 1,349 | 1,322 | $0.07 | |
| 90713 | 456 | 444 | $0.07 | |
| 90697 | 24 | 24 | $0.07 | |
| 90744 | 252 | 240 | $0.04 | |
| 90710 | 499 | 489 | $0.03 | |
| 90658 | 71 | 69 | $0.00 | |
| 90700 | 63 | 58 | $0.00 | |
| 91321 | 33 | 31 | $0.00 | |
| G0008 | Admin influenza virus vac | 17 | 16 | $0.00 |
| 90696 | 134 | 126 | $0.00 | |
| 90723 | 46 | 41 | $0.00 | |
| 91319 | 32 | 26 | $0.00 | |
| 90656 | 202 | 158 | $0.00 |