NPI: 1952844201 · ARLINGTON, TX 76018 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 159,494 | $44K |
| 2019 | 21,722 | $7K |
| 2020 | 4,513 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| U0003 | Cov-19 amp prb hgh thruput | 2,258 | 1,600 | $10K |
| 87900 | 1,700 | 1,216 | $6K | |
| 87799 | 2,036 | 1,217 | $5K | |
| 85025 | 17,434 | 12,429 | $4K | |
| 80053 | 11,958 | 9,328 | $3K | |
| 87481 | 2,679 | 2,133 | $2K | |
| 87653 | 2,555 | 2,059 | $2K | |
| 87640 | 2,686 | 2,137 | $2K | |
| G2024 | Spec coll snf/lab covid-19 | 2,255 | 1,598 | $2K |
| 87500 | 1,700 | 1,216 | $2K | |
| 84443 | 4,794 | 4,263 | $2K | |
| 80048 | 5,892 | 3,937 | $2K | |
| 87798 | 5,636 | 2,138 | $1K | |
| 82306 | 1,712 | 1,545 | $1K | |
| 87641 | 1,568 | 1,136 | $1K | |
| 87652 | 1,696 | 1,214 | $1K | |
| 83880 | 1,024 | 765 | $1K | |
| 87482 | 1,698 | 1,215 | $1K | |
| P9603 | One-way allow prorated miles | 32,736 | 18,156 | $1K |
| 83036 | 4,750 | 4,277 | $1K | |
| 85610 | 4,466 | 1,219 | $783.63 | |
| 87491 | 987 | 923 | $582.40 | |
| 87529 | 982 | 923 | $582.40 | |
| 87496 | 982 | 922 | $582.40 | |
| 87556 | 986 | 924 | $582.40 | |
| 87661 | 982 | 921 | $582.40 | |
| 87651 | 987 | 925 | $582.40 | |
| 80061 | 3,895 | 3,486 | $521.84 | |
| 82607 | 1,082 | 969 | $491.52 | |
| 80177 | 891 | 731 | $445.83 | |
| 87493 | 265 | 147 | $396.32 | |
| 80164 | 1,935 | 1,630 | $382.31 | |
| 82140 | 374 | 256 | $372.73 | |
| 87086 | 2,133 | 1,954 | $368.28 | |
| 81001 | 4,602 | 4,153 | $348.13 | |
| 80185 | 774 | 574 | $348.12 | |
| 84134 | 1,067 | 898 | $324.25 | |
| Q0092 | Set up port xray equipment | 13 | 12 | $315.38 |
| 36415 | 3,936 | 3,066 | $219.00 | |
| 82274 | 204 | 152 | $216.30 | |
| 87186 | 1,844 | 1,587 | $211.08 | |
| 87070 | 319 | 290 | $180.75 | |
| 87088 | 1,149 | 1,051 | $173.38 | |
| 87400 | 145 | 139 | $138.10 | |
| 83735 | 1,471 | 1,003 | $135.90 | |
| 87077 | 817 | 754 | $130.25 | |
| 82746 | 353 | 326 | $110.13 | |
| 80069 | 1,590 | 990 | $100.00 | |
| 83540 | 574 | 506 | $90.98 | |
| 86140 | 418 | 247 | $86.45 | |
| 83970 | 76 | 71 | $85.62 | |
| 80156 | 328 | 283 | $80.54 | |
| 87205 | 176 | 162 | $76.27 | |
| 82550 | 203 | 183 | $75.75 | |
| 82728 | 354 | 314 | $75.41 | |
| 87075 | 95 | 92 | $75.28 | |
| 84436 | 476 | 436 | $65.66 | |
| 80076 | 576 | 522 | $62.01 | |
| 84439 | 337 | 299 | $58.18 | |
| 84479 | 422 | 391 | $55.10 | |
| 85652 | 404 | 261 | $54.12 | |
| 80178 | 183 | 146 | $35.79 | |
| 80162 | 352 | 298 | $30.60 | |
| 83550 | 215 | 188 | $27.18 | |
| 87449 | 12 | 12 | $24.86 | |
| 84132 | 155 | 105 | $14.31 | |
| 82040 | 14 | 14 | $10.26 | |
| 84550 | 381 | 318 | $10.16 | |
| 84100 | 320 | 242 | $7.64 | |
| 82043 | 92 | 87 | $6.42 | |
| 82570 | 58 | 57 | $5.37 | |
| 85014 | 196 | 110 | $5.19 | |
| 85032 | 36 | 33 | $4.47 | |
| 84156 | 16 | 16 | $3.81 | |
| 85018 | 164 | 94 | $2.73 | |
| P9604 | One-way allow prorated trip | 757 | 554 | $0.00 |
| 87804 | 70 | 34 | $0.00 | |
| 84481 | 28 | 27 | $0.00 | |
| 80184 | 128 | 101 | $0.00 | |
| G0471 | Ven blood coll snf/hha | 30,025 | 17,780 | $0.00 |
| G0103 | Psa screening | 49 | 46 | $0.00 |
| 84153 | 29 | 25 | $0.00 | |
| 87046 | 12 | 12 | $0.00 |