NPI: 1912133992 · RIO GRANDE CITY, TX 78582 · 363A00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 680 | $18K |
| 2021 | 5,174 | $114K |
| 2022 | 3,675 | $48K |
| 2023 | 207 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,132 | 1,968 | $57K | |
| S8301 | Infect control supplies nos | 1,791 | 1,655 | $44K |
| 87811 | 964 | 922 | $15K | |
| 99393 | 224 | 223 | $14K | |
| 87880 | 936 | 893 | $10K | |
| 99392 | 148 | 146 | $8K | |
| 99394 | 105 | 98 | $6K | |
| 87809 | 479 | 460 | $6K | |
| 87804 | 602 | 291 | $6K | |
| 90460 | 689 | 287 | $5K | |
| 99391 | 27 | 26 | $2K | |
| 85025 | 342 | 331 | $2K | |
| 99429 | 57 | 57 | $1K | |
| 90461 | 135 | 107 | $847.68 | |
| 87807 | 76 | 76 | $715.00 | |
| 81002 | 240 | 231 | $584.00 | |
| 96372 | 63 | 54 | $535.50 | |
| 96110 | 120 | 90 | $519.95 | |
| 99000 | 66 | 65 | $385.27 | |
| 96161 | 20 | 18 | $33.22 | |
| J0696 | Ceftriaxone sodium injection | 40 | 36 | $21.91 |
| G9716 | Bmi doc onl fup not cmpltd | 108 | 107 | $20.80 |
| 97802 | 108 | 107 | $0.00 | |
| S9451 | Exercise class | 107 | 106 | $0.00 |
| 99406 | 76 | 68 | $0.00 | |
| 90686 | 52 | 51 | $0.00 | |
| 90672 | 15 | 15 | $0.00 | |
| 90648 | 14 | 14 | $0.00 |