Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › SHINER › DRS WAGNER & WAGNER PA

DRS WAGNER & WAGNER PA

NPI: 1124087887 · SHINER, TX 77984 · Family Medicine Physician · NPI assigned 03/21/2006

$1K
Total Medicaid Paid
49
Total Claims
30
Beneficiaries
2
Codes Billed
2021-08
First Month
2021-08
Last Month

Provider Details

Authorized OfficialWAGNER, RALPH (PARTNER)
NPI Enumeration Date03/21/2006

Related Entities

Other providers sharing the same authorized official: WAGNER, RALPH

ProviderCityStateTotal Paid
WAGNER MEDICAL CLINIC L.L.P. SHINER TX $151K
WAGNER MEDICAL CLINIC L.L.P. MOULTON TX $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 21 14 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 28 16 $195.57