NPI: 1922010479 · RICHARDSON, TX 75080 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 48 | $2K |
| 2019 | 102 | $2K |
| 2020 | 1,530 | $30K |
| 2021 | 6,558 | $127K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 572 | 513 | $27K | |
| 99213 | 998 | 765 | $26K | |
| 87637 | 206 | 154 | $22K | |
| 87635 | 333 | 293 | $16K | |
| 99393 | 300 | 215 | $12K | |
| 99394 | 258 | 191 | $11K | |
| 99392 | 298 | 199 | $10K | |
| 90460 | 1,226 | 387 | $7K | |
| 99429 | 248 | 170 | $4K | |
| 99212 | 289 | 203 | $4K | |
| 87880 | 342 | 290 | $4K | |
| 87804 | 243 | 111 | $3K | |
| 96110 | 581 | 320 | $3K | |
| 97804 | 774 | 573 | $3K | |
| 99000 | 308 | 253 | $3K | |
| 90461 | 407 | 233 | $2K | |
| 99211 | 149 | 135 | $2K | |
| 99202 | 30 | 16 | $482.39 | |
| 96160 | 287 | 213 | $354.00 | |
| 81003 | 130 | 104 | $262.05 | |
| 96372 | 24 | 15 | $250.61 | |
| 99050 | 20 | 16 | $144.60 | |
| 90734 | 47 | 37 | $10.00 | |
| J0696 | Ceftriaxone sodium injection | 20 | 12 | $6.36 |
| 90670 | 39 | 27 | $5.35 | |
| 90633 | 21 | 19 | $2.00 | |
| 90658 | 72 | 51 | $2.00 | |
| 90647 | 16 | 13 | $0.70 |