NPI: 1952585697 · WICHITA FALLS, TX 76301 · 207V00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 230 | $2K |
| 2019 | 116 | $277.40 |
| 2020 | 1,697 | $46K |
| 2021 | 4,867 | $173K |
| 2022 | 3,122 | $109K |
| 2023 | 836 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 59409 | 218 | 209 | $119K | |
| 76805 | 772 | 722 | $73K | |
| 99212 | 2,789 | 2,109 | $56K | |
| 99213 | 1,581 | 1,178 | $50K | |
| 99214 | 693 | 643 | $30K | |
| 76801 | 113 | 108 | $10K | |
| 81002 | 3,694 | 2,320 | $10K | |
| 59514 | 12 | 12 | $8K | |
| 96372 | 525 | 475 | $5K | |
| 90674 | 76 | 75 | $2K | |
| 87210 | 283 | 264 | $1K | |
| 99204 | 13 | 13 | $1K | |
| 90471 | 73 | 72 | $564.48 | |
| J1050 | Medroxyprogesterone acetate | 26 | 25 | $0.00 |