NPI: 1881913028 · FORT WORTH, TX 76244 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,584 | $36K |
| 2021 | 9,976 | $248K |
| 2022 | 10,239 | $251K |
| 2023 | 7,649 | $199K |
| 2024 | 7,686 | $186K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,233 | 3,815 | $155K | |
| 99392 | 1,483 | 1,478 | $118K | |
| 99391 | 1,443 | 1,351 | $112K | |
| 90460 | 10,006 | 3,817 | $108K | |
| 99393 | 1,106 | 1,096 | $93K | |
| 87636 | 665 | 624 | $88K | |
| 99394 | 664 | 654 | $60K | |
| 99429 | 1,715 | 1,703 | $57K | |
| 87880 | 1,619 | 1,564 | $22K | |
| 87428 | 230 | 228 | $17K | |
| 96110 | 1,487 | 1,481 | $12K | |
| 87811 | 323 | 315 | $12K | |
| 87651 | 338 | 295 | $9K | |
| 87804 | 571 | 277 | $7K | |
| 90461 | 1,185 | 1,015 | $7K | |
| 87631 | 62 | 61 | $7K | |
| 99214 | 118 | 109 | $6K | |
| 99383 | 56 | 56 | $5K | |
| 87502 | 53 | 51 | $4K | |
| 0071A | 86 | 84 | $3K | |
| 99384 | 33 | 32 | $3K | |
| 87635 | 53 | 51 | $3K | |
| 0072A | 53 | 53 | $2K | |
| 99212 | 75 | 74 | $2K | |
| 96160 | 850 | 839 | $2K | |
| 99382 | 12 | 12 | $1K | |
| 99000 | 111 | 109 | $997.32 | |
| 99381 | 18 | 15 | $895.80 | |
| 87807 | 82 | 79 | $891.00 | |
| 0001A | 17 | 15 | $640.00 | |
| 99211 | 104 | 103 | $284.24 | |
| 90677 | 230 | 227 | $0.87 | |
| 91307 | 163 | 155 | $0.84 | |
| 90744 | 332 | 331 | $0.00 | |
| 90716 | 359 | 357 | $0.00 | |
| 90686 | 706 | 700 | $0.00 | |
| 90680 | 572 | 572 | $0.00 | |
| 90651 | 183 | 180 | $0.00 | |
| 90656 | 137 | 137 | $0.00 | |
| 90700 | 1,429 | 1,423 | $0.00 | |
| 90670 | 861 | 859 | $0.00 | |
| 90713 | 1,124 | 1,116 | $0.00 | |
| 90648 | 1,103 | 1,100 | $0.00 | |
| 90707 | 372 | 370 | $0.00 | |
| 90633 | 423 | 420 | $0.00 | |
| 90734 | 175 | 173 | $0.00 | |
| 90715 | 49 | 49 | $0.00 | |
| 91300 | 29 | 29 | $0.00 | |
| 90685 | 18 | 18 | $0.00 | |
| G2211 | Complex e/m visit add on | 18 | 18 | $0.00 |