COLLEGE STATION I ENTERPRISES, L.L.C.
NPI: 1063054823
· COLLEGE STATION, TX 77845
· 314000000X
$13.06
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,654 |
$0.00 |
| 2022 |
2,564 |
$13.06 |
| 2023 |
153 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
1,880 |
315 |
$13.06 |
| G0008 |
Admin influenza virus vac |
26 |
26 |
$0.00 |
| 97112 |
|
1,175 |
275 |
$0.00 |
| 90694 |
|
26 |
26 |
$0.00 |
| 97110 |
|
1,972 |
290 |
$0.00 |
| 97116 |
|
292 |
52 |
$0.00 |