Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › LEWISVILLE › RODRIGUEZ, SANDRA

RODRIGUEZ, SANDRA

NPI: 1043858913 · LEWISVILLE, TX 75067 · Pediatric Nurse Practitioner · NPI assigned 12/11/2019

$8K
Total Medicaid Paid
254
Total Claims
239
Beneficiaries
3
Codes Billed
2020-11
First Month
2021-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 57 $1K
2021 197 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 220 212 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $293.54
90460 Immunization administration through 18 years of age via any route, first or only component 21 15 $164.64