SCOTT & WHITE CLINIC
NPI: 1003256488
· COLLEGE STATION, TX 77840
· Pediatrics Physician
· NPI assigned 06/28/2013
Provider Details
| Authorized Official | CANTU, ALICE (DIRECTOR, RCO) |
| NPI Enumeration Date | 06/28/2013 |
Related Entities
Other providers sharing the same authorized official: CANTU, ALICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
18 |
$1K |
| 2021 |
33 |
$1K |
| 2022 |
239 |
$2K |
| 2023 |
129 |
$3K |
| 2024 |
387 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
218 |
170 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
16 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
71 |
39 |
$719.42 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
73 |
$636.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$478.80 |
| 92015 |
Determination of refractive state |
376 |
232 |
$214.10 |
| 3288F |
|
16 |
15 |
$0.00 |