PEDIATRIC SPECIALTY RURAL HEALTH CLINIC, LTD.
NPI: 1104958081
· EAGLE PASS, TX 78852
· Pediatrics Physician
· NPI assigned 03/09/2007
$2.18M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DE LOS SANTOS, DEBRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
909 |
$59K |
| 2021 |
6,177 |
$526K |
| 2022 |
7,793 |
$594K |
| 2023 |
7,149 |
$585K |
| 2024 |
5,406 |
$420K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,897 |
16,247 |
$2.18M |
| 96127 |
|
513 |
481 |
$0.00 |
| 99051 |
|
2,009 |
1,647 |
$0.00 |
| 92081 |
|
15 |
15 |
$0.00 |