NPI: 1962857896 · EDINBURG, TX 78539 · 207RR0500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,326 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 908 | 889 | $12K | |
| 96413 | 444 | 437 | $10K | |
| J7321 | Hyalgan supartz visco-3 dose | 328 | 211 | $7K |
| 73218 | 105 | 96 | $6K | |
| 20610 | 742 | 455 | $4K | |
| 96401 | 403 | 265 | $3K | |
| 96372 | 443 | 352 | $3K | |
| 20611 | 300 | 193 | $3K | |
| 73221 | 130 | 118 | $2K | |
| 76536 | 152 | 150 | $2K | |
| 96374 | 127 | 124 | $2K | |
| J1040 | Methylprednisolone 80 mg inj | 624 | 607 | $1K |
| 20552 | 169 | 157 | $1K | |
| J9260 | Inj methotrexate sodium 50mg | 384 | 252 | $972.57 |
| 86235 | 1,833 | 546 | $681.78 | |
| 93880 | 62 | 62 | $629.06 | |
| 73030 | 120 | 60 | $465.29 | |
| 73223 | 12 | 12 | $426.41 | |
| 71046 | 106 | 105 | $426.26 | |
| 80307 | 318 | 317 | $410.08 | |
| 70220 | 104 | 103 | $351.46 | |
| 73080 | 120 | 60 | $327.91 | |
| 96415 | 42 | 42 | $305.20 | |
| 73562 | 75 | 41 | $303.07 | |
| 73110 | 92 | 46 | $278.92 | |
| 86160 | 604 | 302 | $221.28 | |
| 73521 | 44 | 44 | $199.67 | |
| 84443 | 547 | 547 | $193.60 | |
| 86431 | 360 | 304 | $176.58 | |
| 73130 | 84 | 42 | $170.68 | |
| 86800 | 308 | 308 | $164.97 | |
| 77080 | 184 | 184 | $156.60 | |
| 86376 | 308 | 308 | $150.93 | |
| 86215 | 300 | 300 | $137.34 | |
| 86200 | 306 | 304 | $134.28 | |
| 83520 | 277 | 261 | $134.28 | |
| 82784 | 282 | 266 | $128.64 | |
| 82785 | 266 | 266 | $113.82 | |
| 86038 | 298 | 297 | $111.44 | |
| 86140 | 838 | 831 | $95.36 | |
| 72070 | 39 | 39 | $90.57 | |
| 86704 | 261 | 261 | $83.34 | |
| 86060 | 298 | 298 | $67.28 | |
| 85651 | 823 | 812 | $65.44 | |
| 81001 | 823 | 815 | $62.05 | |
| 80053 | 458 | 450 | $60.85 | |
| 85025 | 469 | 463 | $53.70 | |
| 84550 | 473 | 472 | $52.29 | |
| 93970 | 13 | 13 | $49.92 | |
| 72200 | 26 | 26 | $41.97 | |
| 86677 | 261 | 261 | $37.68 | |
| 86225 | 193 | 193 | $31.66 | |
| 86226 | 193 | 193 | $27.90 | |
| 86803 | 261 | 261 | $24.85 | |
| 86147 | 530 | 265 | $18.08 | |
| 86146 | 530 | 265 | $18.08 | |
| 86021 | 223 | 223 | $17.35 | |
| 87340 | 261 | 261 | $16.55 | |
| 80048 | 242 | 242 | $14.60 | |
| 85027 | 118 | 118 | $7.45 | |
| J1885 | Ketorolac tromethamine inj | 16 | 16 | $5.81 |
| J0129 | Abatacept injection | 331 | 328 | $0.11 |
| J1745 | Infliximab not biosimil 10mg | 16 | 16 | $0.06 |
| 83876 | 223 | 223 | $0.00 | |
| J3490 | Drugs unclassified injection | 618 | 603 | $0.00 |
| 36415 | 835 | 826 | $0.00 | |
| J7050 | Normal saline solution infus | 439 | 433 | $0.00 |
| J1740 | Ibandronate sodium injection | 126 | 124 | $0.00 |
| J1438 | Etanercept injection | 78 | 41 | $0.00 |