Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DEAYALA OBGYN ASSOCIATES OF HOUSTON PLLC

NPI: 1215351598 · HOUSTON, TX 77024 · Obstetrics & Gynecology Physician · NPI assigned 02/07/2014

$127K
Total Medicaid Paid
10,833
Total Claims
6,603
Beneficiaries
12
Codes Billed
2019-10
First Month
2022-03
Last Month

Provider Details

Authorized OfficialDEAYALA, RAFAEL (OWNER)
NPI Enumeration Date02/07/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 239 $1K
2020 2,919 $37K
2021 7,152 $78K
2022 523 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,016 1,194 $69K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 271 267 $28K
59514 13 13 $9K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 12 12 $7K
81002 2,317 1,307 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 59 59 $5K
59430 17 14 $1K
81025 122 121 $874.83
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,931 1,137 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 1,937 1,140 $0.00
1036F 1,942 1,143 $0.00
4044F 196 196 $0.00