NPI: 1841546678 · FT WORTH, TX 76132 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,903 | $17K |
| 2019 | 1,248 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 80307 | 1,646 | 1,622 | $6K | |
| 82306 | 624 | 592 | $991.24 | |
| 84403 | 556 | 524 | $705.73 | |
| 84402 | 543 | 513 | $678.17 | |
| 84443 | 631 | 604 | $608.10 | |
| 84270 | 546 | 516 | $583.99 | |
| 82627 | 533 | 510 | $576.65 | |
| 84481 | 582 | 551 | $517.44 | |
| 83002 | 544 | 514 | $501.59 | |
| 82607 | 605 | 566 | $494.01 | |
| 82746 | 586 | 556 | $481.88 | |
| 82533 | 538 | 515 | $441.45 | |
| 82670 | 283 | 268 | $428.59 | |
| 83036 | 616 | 593 | $387.86 | |
| 82728 | 542 | 519 | $385.01 | |
| 86141 | 529 | 510 | $364.07 | |
| 83525 | 538 | 516 | $309.56 | |
| 84439 | 600 | 563 | $296.55 | |
| 80061 | 663 | 626 | $286.73 | |
| 84144 | 260 | 248 | $245.39 | |
| 83001 | 270 | 256 | $218.54 | |
| 83540 | 540 | 518 | $197.71 | |
| 84153 | 184 | 177 | $186.49 | |
| 82150 | 531 | 511 | $182.29 | |
| 83735 | 537 | 510 | $181.49 | |
| 85025 | 547 | 525 | $180.96 | |
| 83615 | 528 | 509 | $163.57 | |
| 80053 | 640 | 618 | $107.25 | |
| 80050 | 18 | 15 | $45.12 | |
| 84100 | 555 | 528 | $38.38 | |
| 82248 | 14 | 12 | $4.72 | |
| 87502 | 46 | 30 | $0.00 | |
| 87633 | 40 | 30 | $0.00 | |
| 87641 | 132 | 84 | $0.00 | |
| 87634 | 46 | 30 | $0.00 | |
| 81401 | 50 | 21 | $0.00 | |
| 81291 | 27 | 21 | $0.00 | |
| 87653 | 81 | 56 | $0.00 | |
| 81241 | 26 | 20 | $0.00 | |
| 87481 | 40 | 28 | $0.00 | |
| 81355 | 26 | 20 | $0.00 | |
| 87798 | 78 | 41 | $0.00 | |
| 82570 | 102 | 102 | $0.00 | |
| 81479 | 35 | 20 | $0.00 | |
| 83986 | 102 | 102 | $0.00 | |
| 87503 | 46 | 30 | $0.00 | |
| 81227 | 27 | 21 | $0.00 | |
| 87496 | 40 | 30 | $0.00 | |
| 87500 | 158 | 84 | $0.00 | |
| 87486 | 45 | 30 | $0.00 | |
| 81240 | 26 | 20 | $0.00 | |
| 87498 | 46 | 30 | $0.00 | |
| G0103 | Psa screening | 59 | 58 | $0.00 |
| 81230 | 27 | 21 | $0.00 | |
| 81225 | 27 | 21 | $0.00 | |
| 87640 | 168 | 104 | $0.00 | |
| 87581 | 46 | 30 | $0.00 | |
| 87532 | 42 | 28 | $0.00 | |
| 84311 | 102 | 102 | $0.00 | |
| 87541 | 46 | 30 | $0.00 | |
| 81226 | 25 | 19 | $0.00 | |
| 87651 | 13 | 13 | $0.00 | |
| 87511 | 25 | 13 | $0.00 | |
| 81400 | 23 | 17 | $0.00 |