NPI: 1902080260 · AMARILLO, TX 79106 · 261QA0005X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,884 | $202K |
| 2021 | 7,177 | $202K |
| 2022 | 8,808 | $152K |
| 2023 | 6,928 | $120K |
| 2024 | 2,505 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J1050 | Medroxyprogesterone acetate | 3,973 | 3,357 | $204K |
| S4993 | Contraceptive pills for bc | 2,567 | 2,435 | $161K |
| 99213 | 2,443 | 2,356 | $63K | |
| 99395 | 1,023 | 1,006 | $60K | |
| 81025 | 7,248 | 6,575 | $44K | |
| 96372 | 3,670 | 3,445 | $40K | |
| 99212 | 2,695 | 2,322 | $39K | |
| 99202 | 810 | 708 | $20K | |
| 99385 | 275 | 272 | $19K | |
| 87491 | 1,106 | 950 | $11K | |
| J7307 | Etonogestrel implant system | 14 | 14 | $10K |
| 87591 | 1,106 | 951 | $10K | |
| 11982 | 82 | 82 | $9K | |
| 87210 | 1,268 | 1,236 | $6K | |
| J7303 | Contraceptive vaginal ring | 13 | 13 | $5K |
| J3490 | Drugs unclassified injection | 61 | 61 | $5K |
| 99000 | 560 | 553 | $4K | |
| 58301 | 37 | 37 | $3K | |
| 87800 | 666 | 496 | $2K | |
| 87590 | 575 | 428 | $2K | |
| 99214 | 53 | 53 | $2K | |
| 87490 | 575 | 429 | $1K | |
| 81002 | 219 | 213 | $619.04 | |
| 87661 | 43 | 37 | $412.72 | |
| 99203 | 20 | 14 | $224.51 | |
| A4267 | Male condom | 34 | 34 | $45.36 |
| 87660 | 166 | 150 | $16.84 |