FOOT CLINIC OF EAST TEXAS PC
NPI: 1184688566
· TYLER, TX 75701
· Podiatrist
· NPI assigned 04/13/2006
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | PHELPS, ROBERT (OWNER/DPM) |
| NPI Enumeration Date | 04/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,780 |
$14K |
| 2019 |
2,191 |
$4K |
| 2020 |
1,120 |
$10K |
| 2021 |
2,664 |
$13K |
| 2022 |
2,850 |
$17K |
| 2023 |
3,884 |
$31K |
| 2024 |
1,954 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
9,171 |
8,651 |
$50K |
| 11056 |
|
1,001 |
957 |
$11K |
| 11765 |
|
604 |
431 |
$10K |
| 99307 |
|
1,967 |
1,834 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,297 |
1,236 |
$6K |
| 99347 |
|
281 |
274 |
$5K |
| 11720 |
|
972 |
940 |
$4K |
| 99334 |
|
263 |
237 |
$3K |
| 99304 |
|
286 |
264 |
$3K |
| 11055 |
|
302 |
288 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
61 |
$1K |
| 99348 |
|
57 |
56 |
$1K |
| 99341 |
|
42 |
36 |
$782.49 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$481.96 |
| 99305 |
|
78 |
74 |
$205.50 |
| 11057 |
|
13 |
12 |
$108.41 |
| 99324 |
|
15 |
13 |
$37.51 |