NPI: 1871516807 · RAYMONDVILLE, TX 78580 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,498 | $114K |
| 2021 | 9,989 | $650K |
| 2022 | 3,656 | $231K |
| 2023 | 9,581 | $426K |
| 2024 | 2,279 | $138K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 7,457 | 5,108 | $1.09M |
| D0999 | 1,535 | 1,398 | $229K | |
| 99212 | 3,017 | 2,563 | $94K | |
| 99213 | 2,567 | 2,120 | $88K | |
| G0467 | Fqhc visit, estab pt | 654 | 543 | $22K |
| 99214 | 438 | 398 | $16K | |
| 99394 | 80 | 78 | $5K | |
| G2025 | Dis site tele svcs rhc/fqhc | 234 | 209 | $4K |
| 90460 | 511 | 453 | $3K | |
| 87811 | 175 | 151 | $2K | |
| 99392 | 27 | 25 | $2K | |
| 87635 | 250 | 226 | $2K | |
| 99393 | 13 | 12 | $830.30 | |
| 0012A | 26 | 25 | $709.75 | |
| 81002 | 458 | 337 | $669.62 | |
| 85025 | 314 | 290 | $622.82 | |
| 87081 | 194 | 175 | $520.34 | |
| 87804 | 54 | 34 | $458.70 | |
| 81025 | 123 | 111 | $404.88 | |
| 83036 | 364 | 336 | $404.77 | |
| 84443 | 87 | 82 | $378.58 | |
| 80053 | 207 | 198 | $366.12 | |
| 90461 | 70 | 63 | $360.22 | |
| G0511 | Ccm/bhi by rhc/fqhc 20min mo | 26 | 26 | $338.00 |
| 0011A | 15 | 15 | $237.16 | |
| 80061 | 166 | 158 | $206.25 | |
| 87389 | 43 | 41 | $161.84 | |
| D0120 | 478 | 467 | $115.40 | |
| 87491 | 32 | 29 | $88.44 | |
| 87591 | 32 | 29 | $88.44 | |
| 90686 | 350 | 338 | $75.36 | |
| 96160 | 31 | 31 | $65.78 | |
| D1208 | 612 | 590 | $58.80 | |
| D1120 | 250 | 236 | $56.00 | |
| D1110 | 113 | 111 | $40.00 | |
| 87086 | 28 | 24 | $33.90 | |
| 81001 | 34 | 29 | $31.92 | |
| 84436 | 12 | 12 | $23.08 | |
| 84479 | 12 | 12 | $21.72 | |
| 86803 | 13 | 12 | $11.99 | |
| 90471 | 54 | 50 | $10.94 | |
| 3725F | 313 | 240 | $0.00 | |
| D0274 | 159 | 156 | $0.00 | |
| 1160F | 288 | 221 | $0.00 | |
| 0502F | 72 | 43 | $0.00 | |
| 3078F | 570 | 444 | $0.00 | |
| 1159F | 704 | 535 | $0.00 | |
| 91300 | 13 | 12 | $0.00 | |
| 92552 | 46 | 46 | $0.00 | |
| 99173 | 143 | 141 | $0.00 | |
| D0220 | 48 | 41 | $0.00 | |
| G0468 | Fqhc visit, ippe or awv | 18 | 18 | $0.00 |
| D0145 | 13 | 13 | $0.00 | |
| 3008F | 754 | 566 | $0.00 | |
| D0603 | 695 | 667 | $0.00 | |
| D0602 | 18 | 18 | $0.00 | |
| 0241U | 45 | 44 | $0.00 | |
| 3075F | 17 | 15 | $0.00 | |
| 3079F | 75 | 64 | $0.00 | |
| 3044F | 176 | 154 | $0.00 | |
| 1126F | 50 | 44 | $0.00 | |
| 1036F | 641 | 455 | $0.00 | |
| 3074F | 618 | 464 | $0.00 | |
| D1330 | 195 | 181 | $0.00 | |
| G0439 | Ppps, subseq visit | 12 | 12 | $0.00 |
| D0272 | 75 | 74 | $0.00 | |
| 91301 | 47 | 46 | $0.00 | |
| G0008 | Admin influenza virus vac | 16 | 16 | $0.00 |
| D0230 | 26 | 12 | $0.00 |