NPI: 1942489943 · MISSION, TX 78574 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 97 | $2K |
| 2019 | 116 | $4K |
| 2020 | 2,825 | $68K |
| 2021 | 31,255 | $896K |
| 2022 | 38,151 | $1.50M |
| 2023 | 32,770 | $1.02M |
| 2024 | 27,285 | $779K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 25,515 | 22,203 | $944K | |
| 87636 | 4,776 | 4,333 | $667K | |
| 87426 | 9,341 | 8,174 | $394K | |
| 99214 | 6,488 | 6,148 | $339K | |
| 87428 | 7,709 | 6,865 | $296K | |
| 99392 | 3,485 | 3,398 | $275K | |
| 99393 | 2,943 | 2,889 | $243K | |
| 99394 | 2,237 | 2,183 | $191K | |
| 90460 | 16,455 | 7,263 | $176K | |
| 99391 | 2,267 | 2,188 | $172K | |
| 99212 | 3,604 | 3,401 | $89K | |
| 99429 | 2,895 | 2,862 | $88K | |
| 87880 | 4,180 | 4,009 | $57K | |
| 85025 | 8,376 | 7,675 | $53K | |
| 87804 | 3,727 | 1,763 | $50K | |
| 99203 | 694 | 678 | $41K | |
| 96110 | 2,961 | 2,492 | $24K | |
| 90461 | 2,223 | 1,922 | $17K | |
| 87807 | 1,560 | 1,384 | $16K | |
| 0071A | 409 | 397 | $16K | |
| 96372 | 1,329 | 1,196 | $15K | |
| 0001A | 390 | 388 | $15K | |
| 99381 | 172 | 168 | $14K | |
| 0002A | 335 | 335 | $13K | |
| 99000 | 1,166 | 1,113 | $12K | |
| 99211 | 772 | 742 | $11K | |
| 87635 | 199 | 199 | $10K | |
| 94010 | 310 | 296 | $7K | |
| 99395 | 69 | 68 | $6K | |
| 0072A | 126 | 125 | $5K | |
| 0003A | 81 | 79 | $3K | |
| 99202 | 66 | 66 | $3K | |
| 97169 | 52 | 52 | $2K | |
| 87502 | 28 | 27 | $2K | |
| 81002 | 641 | 599 | $2K | |
| 0081A | 32 | 32 | $1K | |
| 99384 | 14 | 14 | $1K | |
| G8510 | Scr dep neg, no plan reqd | 98 | 97 | $1K |
| 87651 | 30 | 30 | $982.50 | |
| J0696 | Ceftriaxone sodium injection | 585 | 516 | $967.90 |
| 96160 | 623 | 609 | $502.00 | |
| 0031A | 19 | 18 | $400.00 | |
| J2550 | Promethazine hcl injection | 139 | 137 | $365.92 |
| J1100 | Dexamethasone sodium phos | 163 | 155 | $231.29 |
| 86580 | 14 | 14 | $113.96 | |
| 90686 | 2,246 | 2,220 | $1.34 | |
| 90651 | 663 | 653 | $0.35 | |
| 90620 | 477 | 468 | $0.20 | |
| 90671 | 89 | 89 | $0.05 | |
| 90670 | 2,003 | 1,975 | $0.02 | |
| 90734 | 713 | 700 | $0.00 | |
| 90710 | 170 | 168 | $0.00 | |
| 91300 | 108 | 106 | $0.00 | |
| 90681 | 887 | 873 | $0.00 | |
| 90633 | 1,052 | 1,041 | $0.00 | |
| 90700 | 273 | 271 | $0.00 | |
| 90707 | 319 | 318 | $0.00 | |
| 90648 | 1,450 | 1,432 | $0.00 | |
| 90380 | 15 | 15 | $0.00 | |
| 91308 | 54 | 51 | $0.00 | |
| 90715 | 145 | 143 | $0.00 | |
| 90723 | 909 | 896 | $0.00 | |
| 90696 | 172 | 170 | $0.00 | |
| 91307 | 603 | 547 | $0.00 | |
| 90698 | 280 | 271 | $0.00 | |
| 90716 | 311 | 310 | $0.00 | |
| 90656 | 217 | 216 | $0.00 | |
| 90744 | 45 | 43 | $0.00 |