MEMORIAL MEDICAL CENTER
NPI: 1053964742
· PORT LAVACA, TX 77979
· Family Medicine Physician
· NPI assigned 07/22/2019
$312K
Total Medicaid Paid
Provider Details
| Authorized Official | CLEVENGER, ERIN (CEO) |
| Parent Organization | MEMORIAL MEDICAL CENTER |
| NPI Enumeration Date | 07/22/2019 |
Related Entities
Other providers sharing the same authorized official: CLEVENGER, ERIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
184 |
$7K |
| 2021 |
1,461 |
$75K |
| 2022 |
1,540 |
$87K |
| 2023 |
734 |
$41K |
| 2024 |
829 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,733 |
4,150 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$120.00 |