NPI: 1750345088 · ODESSA, TX 79763 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,349 | $196K |
| 2021 | 10,805 | $509K |
| 2022 | 3,170 | $195K |
| 2023 | 2,777 | $184K |
| 2024 | 1,215 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,932 | 6,378 | $926K |
| 99213 | 3,070 | 2,598 | $85K | |
| 99214 | 2,869 | 2,528 | $83K | |
| G0467 | Fqhc visit, estab pt | 667 | 636 | $22K |
| 99392 | 329 | 247 | $13K | |
| 99393 | 353 | 255 | $13K | |
| 99394 | 215 | 147 | $8K | |
| 90460 | 2,226 | 826 | $6K | |
| 99391 | 166 | 126 | $5K | |
| 99383 | 93 | 76 | $4K | |
| 99203 | 127 | 110 | $4K | |
| 99384 | 57 | 47 | $3K | |
| 99204 | 26 | 25 | $1K | |
| 99382 | 18 | 16 | $1K | |
| 90461 | 392 | 271 | $966.91 | |
| 90686 | 857 | 549 | $771.63 | |
| 96110 | 126 | 100 | $431.42 | |
| 90715 | 79 | 58 | $126.20 | |
| 81003 | 497 | 331 | $101.10 | |
| 90471 | 447 | 367 | $15.68 | |
| 82962 | 1,293 | 1,127 | $0.00 | |
| 90723 | 60 | 46 | $0.00 | |
| 90716 | 129 | 87 | $0.00 | |
| 90680 | 106 | 84 | $0.00 | |
| 90651 | 199 | 122 | $0.00 | |
| 96127 | 14 | 14 | $0.00 | |
| 90696 | 18 | 13 | $0.00 | |
| 36416 | 34 | 32 | $0.00 | |
| 90472 | 100 | 65 | $0.00 | |
| 90670 | 275 | 180 | $0.00 | |
| 90734 | 193 | 124 | $0.00 | |
| 90707 | 92 | 73 | $0.00 | |
| 90648 | 143 | 97 | $0.00 | |
| 90633 | 114 | 68 | $0.00 |