NPI: 1932103421 · DALLAS, TX 75220 · 207Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 314 | $6K |
| 2019 | 202 | $3K |
| 2020 | 8,965 | $155K |
| 2021 | 37,766 | $953K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 7,082 | 6,039 | $241K | |
| 99214 | 2,725 | 2,378 | $128K | |
| 99394 | 1,349 | 1,257 | $110K | |
| 87426 | 3,067 | 2,648 | $108K | |
| 87428 | 1,452 | 1,323 | $104K | |
| 99393 | 1,255 | 1,184 | $95K | |
| 87804 | 6,387 | 2,827 | $85K | |
| 87880 | 4,678 | 4,129 | $61K | |
| 99392 | 787 | 750 | $57K | |
| 90460 | 5,233 | 2,760 | $39K | |
| 99203 | 274 | 272 | $16K | |
| 99391 | 206 | 195 | $14K | |
| 90461 | 2,344 | 892 | $11K | |
| 87807 | 959 | 844 | $10K | |
| 99395 | 130 | 126 | $10K | |
| 96110 | 998 | 609 | $8K | |
| 99383 | 56 | 56 | $5K | |
| 96372 | 294 | 211 | $3K | |
| 99384 | 28 | 28 | $3K | |
| 99382 | 28 | 27 | $2K | |
| 71046 | 76 | 72 | $2K | |
| 81003 | 614 | 549 | $1K | |
| 99202 | 24 | 24 | $973.40 | |
| 99381 | 14 | 13 | $917.34 | |
| 86318 | 42 | 41 | $723.60 | |
| 87635 | 26 | 15 | $718.62 | |
| 94640 | 45 | 43 | $633.82 | |
| 74018 | 29 | 27 | $604.48 | |
| 90734 | 500 | 475 | $433.90 | |
| 99212 | 19 | 15 | $280.86 | |
| 90471 | 25 | 25 | $198.66 | |
| 96160 | 58 | 57 | $118.91 | |
| 81025 | 16 | 15 | $101.22 | |
| 90715 | 207 | 201 | $94.80 | |
| 90686 | 1,598 | 1,454 | $90.80 | |
| 90696 | 134 | 130 | $63.00 | |
| A7004 | Disposable nebulizer sml vol | 44 | 42 | $57.75 |
| 90710 | 253 | 249 | $52.53 | |
| J0696 | Ceftriaxone sodium injection | 17 | 12 | $2.48 |
| 90620 | 344 | 333 | $0.21 | |
| 90651 | 389 | 365 | $0.13 | |
| 90670 | 360 | 348 | $0.02 | |
| 90680 | 61 | 59 | $0.01 | |
| 90633 | 248 | 242 | $0.01 | |
| 90647 | 224 | 215 | $0.00 | |
| 97802 | 20 | 14 | $0.00 | |
| 90656 | 39 | 34 | $0.00 | |
| 90723 | 45 | 44 | $0.00 | |
| 90698 | 14 | 14 | $0.00 | |
| 90716 | 24 | 24 | $0.00 | |
| 99173 | 2,355 | 2,232 | $0.00 | |
| 90700 | 13 | 13 | $0.00 | |
| 90707 | 17 | 17 | $0.00 | |
| 90649 | 21 | 15 | $0.00 |