HEALTHTEXAS PROVIDER NETWORK
NPI: 1063417699
· TERRELL, TX 75160
· Pediatrics Physician
· NPI assigned 06/20/2005
$214.11
Total Medicaid Paid
Provider Details
| Authorized Official | FOURTON, ELLEN (DIRECTOR) |
| NPI Enumeration Date | 06/20/2005 |
Related Entities
Other providers sharing the same authorized official: FOURTON, ELLEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$214.11 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$214.11 |