Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

IBERIA MEDICAL CLINIC, P.A.

NPI: 1043331812 · FORT WORTH, TX 76115 · Physician Assistant · NPI assigned 04/02/2007

$109K
Total Medicaid Paid
6,821
Total Claims
5,631
Beneficiaries
18
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHOMSON, PAMELA (CREDENTIALING MANAGER)
NPI Enumeration Date04/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 31 $0.00
2021 1,009 $6K
2022 2,720 $42K
2023 2,142 $40K
2024 919 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,840 1,711 $71K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,016 1,309 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 410 385 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 142 135 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 55 54 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 45 43 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 144 71 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,288 1,107 $976.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 111 108 $452.22
J1030 Injection, methylprednisolone acetate, 40 mg 38 38 $156.84
83036 Hemoglobin; glycosylated (A1C) 37 37 $78.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 153 146 $61.68
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $30.30
85027 32 30 $26.88
81003 16 12 $10.82
99051 297 275 $0.00
36416 135 121 $0.00
36415 Collection of venous blood by venipuncture 50 37 $0.00