ODR PEDIATRIC UROLOGY INSTITUTE PLLC
NPI: 1184280695
· HOUSTON, TX 77004
· Urology Physician
· NPI assigned 05/10/2019
$249K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, DUNG (OWNER) |
| Parent Organization | ODR PEDIATRIC UROLOGY INSTIUTE |
| NPI Enumeration Date | 05/10/2019 |
Related Entities
Other providers sharing the same authorized official: PHAM, DUNG
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 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
248 |
227 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
295 |
273 |
$13K |
| 54300 |
|
77 |
59 |
$11K |
| 54161 |
|
141 |
124 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
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 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
12 |
$0.00 |