NPI: 1972189371 · WESLACO, TX 78596 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 73 | $2K |
| 2022 | 546 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0053A | 56 | 50 | $1K | |
| 0001A | 47 | 42 | $1K | |
| 0073A | 37 | 35 | $1K | |
| 90674 | 81 | 81 | $1K | |
| 0134A | 104 | 103 | $800.00 | |
| 0124A | 43 | 41 | $760.00 | |
| 0002A | 26 | 23 | $724.00 | |
| M0201 | Pne flu hepb cov home admin | 102 | 96 | $637.23 |
| 90471 | 56 | 56 | $631.69 | |
| 0081A | 14 | 14 | $520.00 | |
| 0064A | 17 | 15 | $198.00 | |
| 0054A | 17 | 17 | $80.00 | |
| G0008 | Admin influenza virus vac | 19 | 19 | $0.00 |