NPI: 1801831748 · NACOGDOCHES, TX 75961 · 282NR1301X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 743 | $43K |
| 2021 | 8,472 | $545K |
| 2022 | 8,103 | $910K |
| 2023 | 523 | $64K |
| 2024 | 797 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | 2,851 | 2,718 | $779K | |
| 99283 | 4,237 | 4,147 | $541K | |
| 99285 | 243 | 233 | $53K | |
| 99282 | 396 | 389 | $49K | |
| 41899 | 53 | 52 | $39K | |
| 71045 | 568 | 552 | $37K | |
| 87428 | 482 | 480 | $24K | |
| 87426 | 585 | 569 | $20K | |
| 87880 | 760 | 745 | $16K | |
| 80053 | 1,563 | 1,445 | $14K | |
| 85025 | 1,813 | 1,669 | $12K | |
| 87804 | 502 | 247 | $10K | |
| 93005 | 161 | 154 | $3K | |
| 0202U | 248 | 244 | $3K | |
| 76805 | 16 | 15 | $2K | |
| 81001 | 792 | 739 | $2K | |
| U0002 | Covid-19 lab test non-cdc | 26 | 26 | $1K |
| 87430 | 104 | 104 | $1K | |
| 71046 | 12 | 12 | $1K | |
| CP007 | 35 | 30 | $837.73 | |
| 83655 | 41 | 41 | $775.07 | |
| 87807 | 52 | 51 | $755.03 | |
| 87081 | 80 | 80 | $344.22 | |
| 83880 | 40 | 39 | $263.83 | |
| 82728 | 12 | 12 | $253.93 | |
| 84484 | 98 | 84 | $253.08 | |
| 83550 | 12 | 12 | $162.80 | |
| 85014 | 41 | 41 | $154.60 | |
| 85018 | 41 | 41 | $151.86 | |
| 83735 | 29 | 29 | $151.79 | |
| 83690 | 26 | 24 | $142.19 | |
| 83540 | 12 | 12 | $120.46 | |
| 36415 | 2,459 | 2,137 | $46.41 | |
| 80061 | 31 | 31 | $23.64 | |
| 85610 | 27 | 26 | $16.48 | |
| 85730 | 15 | 14 | $11.54 | |
| 80048 | 14 | 13 | $11.07 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 13 | 13 | $7.80 |
| 87077 | 12 | 12 | $7.76 | |
| J2405 | Ondansetron hcl injection | 30 | 29 | $0.51 |
| 96374 | 46 | 42 | $0.00 | |
| J1885 | Ketorolac tromethamine inj | 16 | 16 | $0.00 |
| 96375 | 44 | 26 | $0.00 |