NPI: 1891124640 · DEL RIO, TX 78840 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,540 | $4K |
| 2020 | 5,590 | $151K |
| 2021 | 21,627 | $1.39M |
| 2022 | 17,397 | $1.98M |
| 2023 | 20,566 | $3.23M |
| 2024 | 14,534 | $2.78M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 20,304 | 17,856 | $6.01M |
| 99392 | 4,439 | 4,041 | $1.03M | |
| 99391 | 3,740 | 3,297 | $840K | |
| 99393 | 2,875 | 2,628 | $677K | |
| 99394 | 1,532 | 1,343 | $342K | |
| 99213 | 6,561 | 5,989 | $208K | |
| 90471 | 9,590 | 8,735 | $127K | |
| 99214 | 2,390 | 2,255 | $119K | |
| 90472 | 7,051 | 5,623 | $39K | |
| 99212 | 445 | 420 | $20K | |
| 87880 | 1,230 | 1,153 | $18K | |
| 90688 | 1,817 | 1,639 | $14K | |
| 99381 | 84 | 80 | $13K | |
| Q3014 | Telehealth facility fee | 938 | 867 | $9K |
| 99203 | 237 | 236 | $9K | |
| 87804 | 764 | 351 | $8K | |
| 90657 | 293 | 282 | $7K | |
| 90658 | 360 | 337 | $6K | |
| 99460 | 155 | 138 | $6K | |
| 99238 | 154 | 137 | $6K | |
| 90633 | 1,655 | 1,497 | $6K | |
| 90687 | 499 | 417 | $5K | |
| 90700 | 542 | 464 | $3K | |
| 99463 | 30 | 30 | $3K | |
| 99202 | 97 | 92 | $3K | |
| 99442 | 133 | 132 | $3K | |
| 99443 | 105 | 102 | $2K | |
| 59409 | 21 | 14 | $2K | |
| G2025 | Dis site tele svcs rhc/fqhc | 17 | 15 | $1K |
| 99204 | 40 | 40 | $826.73 | |
| 90723 | 455 | 385 | $728.80 | |
| 90474 | 1,135 | 1,032 | $543.58 | |
| 99221 | 16 | 14 | $514.42 | |
| 51798 | 226 | 223 | $504.87 | |
| 90681 | 1,177 | 1,064 | $217.90 | |
| 93000 | 76 | 75 | $156.45 | |
| 93306 | 108 | 108 | $141.83 | |
| 99441 | 26 | 26 | $99.42 | |
| 11721 | 269 | 269 | $55.87 | |
| 81003 | 15 | 15 | $13.23 | |
| 90697 | 831 | 783 | $0.12 | |
| 90677 | 707 | 702 | $0.00 | |
| 90716 | 442 | 404 | $0.00 | |
| 90696 | 533 | 481 | $0.00 | |
| 90698 | 337 | 302 | $0.00 | |
| 90651 | 261 | 236 | $0.00 | |
| 90656 | 193 | 193 | $0.00 | |
| G0008 | Admin influenza virus vac | 32 | 32 | $0.00 |
| 96372 | 85 | 85 | $0.00 | |
| 90381 | 16 | 16 | $0.00 | |
| 90707 | 448 | 409 | $0.00 | |
| 90710 | 549 | 499 | $0.00 | |
| 90648 | 1,248 | 1,083 | $0.00 | |
| 90715 | 274 | 229 | $0.00 | |
| 90670 | 2,695 | 2,377 | $0.00 | |
| 90734 | 693 | 603 | $0.00 | |
| 90380 | 12 | 12 | $0.00 | |
| 96160 | 169 | 169 | $0.00 | |
| 99307 | 32 | 32 | $0.00 | |
| 90662 | 14 | 14 | $0.00 | |
| 90621 | 82 | 75 | $0.00 |