NPI: 1972930840 · PORT ARTHUR, TX 77642 · 261QM0855X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 31 | $64.48 |
| 2022 | 6,309 | $178K |
| 2023 | 28,191 | $402K |
| 2024 | 12,137 | $224K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 8,357 | 4,653 | $169K | |
| U0002 | Covid-19 lab test non-cdc | 3,310 | 1,919 | $99K |
| 99214 | 3,333 | 2,018 | $97K | |
| 99393 | 1,858 | 1,089 | $86K | |
| 99392 | 1,782 | 1,076 | $81K | |
| 99391 | 1,207 | 757 | $53K | |
| 90460 | 6,493 | 1,779 | $52K | |
| 99394 | 1,054 | 602 | $50K | |
| 87804 | 5,387 | 1,538 | $39K | |
| 87880 | 4,234 | 2,434 | $33K | |
| 99212 | 922 | 536 | $13K | |
| 96110 | 1,858 | 755 | $9K | |
| 87426 | 409 | 168 | $7K | |
| G8510 | Scr dep neg, no plan reqd | 1,045 | 583 | $6K |
| 97169 | 268 | 143 | $3K | |
| 99203 | 56 | 49 | $2K | |
| 90681 | 680 | 408 | $2K | |
| 90656 | 137 | 109 | $1K | |
| 90461 | 619 | 429 | $713.44 | |
| 96160 | 816 | 428 | $708.43 | |
| 90620 | 36 | 27 | $0.00 | |
| 90619 | 173 | 91 | $0.00 | |
| 90697 | 303 | 190 | $0.00 | |
| 90651 | 130 | 67 | $0.00 | |
| 90696 | 46 | 26 | $0.00 | |
| 90698 | 32 | 13 | $0.00 | |
| 90723 | 26 | 26 | $0.00 | |
| 90670 | 1,055 | 658 | $0.00 | |
| 90633 | 475 | 275 | $0.00 | |
| 90700 | 30 | 24 | $0.00 | |
| 90710 | 368 | 223 | $0.00 | |
| 90648 | 70 | 64 | $0.00 | |
| 90734 | 28 | 26 | $0.00 | |
| 90715 | 71 | 27 | $0.00 |