ODR PEDIATRIC UROLOGY INSTITUTE PLLC
NPI: 1184280695
· HOUSTON, TX 77004
· 208800000X
$249K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
128 |
$3K |
| 2021 |
156 |
$23K |
| 2022 |
421 |
$68K |
| 2023 |
706 |
$121K |
| 2024 |
386 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 54360 |
|
238 |
207 |
$100K |
| 55180 |
|
193 |
166 |
$49K |
| 14040 |
|
278 |
246 |
$42K |
| 99204 |
|
248 |
227 |
$18K |
| 99214 |
|
295 |
273 |
$13K |
| 54300 |
|
77 |
59 |
$11K |
| 54161 |
|
141 |
124 |
$7K |
| 99213 |
|
169 |
142 |
$5K |
| 99205 |
Prolong outpt/office vis |
25 |
24 |
$3K |
| 54150 |
|
35 |
29 |
$496.43 |
| 15275 |
|
17 |
16 |
$337.44 |
| 99253 |
|
17 |
15 |
$191.10 |
| 64450 |
|
51 |
47 |
$0.00 |
| G2211 |
Complex e/m visit add on |
13 |
12 |
$0.00 |