NPI: 1912641432 · GREENVILLE, TX 75402 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 683 | $11K |
| 2024 | 3,852 | $158K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 1,255 | 1,060 | $166K |
| 99050 | 225 | 180 | $2K | |
| 99204 | 595 | 438 | $492.67 | |
| 87811 | 590 | 435 | $456.60 | |
| 87502 | 311 | 220 | $38.31 | |
| 87804 | 492 | 186 | $27.80 | |
| 87880 | 618 | 477 | $11.57 | |
| 99203 | 88 | 86 | $0.00 | |
| 99214 | 171 | 166 | $0.00 | |
| S9088 | Services provided in urgent | 12 | 12 | $0.00 |
| 87807 | 151 | 120 | $0.00 | |
| 99213 | 27 | 27 | $0.00 |