NPI: 1790858769 · LAREDO, TX 78040 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 58 | $0.00 |
| 2019 | 264 | $1K |
| 2020 | 1,266 | $8K |
| 2021 | 3,502 | $12K |
| 2022 | 1,524 | $13K |
| 2023 | 3,685 | $23K |
| 2024 | 3,617 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 2,934 | 2,771 | $26K | |
| 90472 | 3,099 | 1,661 | $26K | |
| 81025 | 906 | 823 | $6K | |
| 99214 | 79 | 77 | $3K | |
| 0111A | 54 | 52 | $2K | |
| 99213 | 70 | 66 | $2K | |
| 0081A | 42 | 42 | $2K | |
| 90460 | 117 | 113 | $1K | |
| 0082A | 33 | 33 | $1K | |
| 86592 | 321 | 311 | $1K | |
| 90715 | 293 | 286 | $900.29 | |
| 0112A | 22 | 22 | $880.00 | |
| A4267 | Male condom | 59 | 54 | $679.68 |
| H0033 | Oral med adm direct observe | 90 | 12 | $679.58 |
| 0071A | 16 | 16 | $598.00 | |
| 0074A | 16 | 16 | $560.00 | |
| 81001 | 191 | 183 | $491.90 | |
| 90480 | 42 | 42 | $481.25 | |
| 0012A | 561 | 557 | $400.00 | |
| 90688 | 390 | 328 | $351.98 | |
| 85025 | 26 | 25 | $95.02 | |
| 0011A | 252 | 250 | $16.94 | |
| 90658 | 16 | 16 | $15.31 | |
| 90619 | 395 | 384 | $1.56 | |
| 90686 | 127 | 125 | $0.00 | |
| 91301 | 784 | 777 | $0.00 | |
| 90651 | 379 | 372 | $0.00 | |
| 90696 | 16 | 15 | $0.00 | |
| 91305 | 42 | 40 | $0.00 | |
| 90697 | 143 | 143 | $0.00 | |
| G0008 | Admin influenza virus vac | 124 | 124 | $0.00 |
| 91307 | 171 | 169 | $0.00 | |
| 0134A | 39 | 39 | $0.00 | |
| 0064A | 19 | 19 | $0.00 | |
| 90710 | 216 | 212 | $0.00 | |
| 90633 | 342 | 337 | $0.00 | |
| 99401 | 592 | 558 | $0.00 | |
| 90671 | 344 | 334 | $0.00 | |
| 90461 | 154 | 89 | $0.00 | |
| 91308 | 144 | 136 | $0.00 | |
| 90734 | 114 | 108 | $0.00 | |
| 90700 | 14 | 14 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| 91311 | 77 | 73 | $0.00 | |
| 90713 | 13 | 13 | $0.00 | |
| 0124A | 26 | 26 | $0.00 |