HOUSTON PREMIER RADIOLOGY CENTER INC.
NPI: 1255624847
· HOUSTON, TX 77034
· Physiological Laboratory
· NPI assigned 05/16/2011
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | DHALLA, SALIMA (MANAGING DIRECTOR) |
| NPI Enumeration Date | 05/16/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
140 |
$15K |
| 2021 |
538 |
$39K |
| 2022 |
548 |
$46K |
| 2023 |
422 |
$33K |
| 2024 |
24 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
986 |
969 |
$117K |
| 76700 |
|
265 |
257 |
$16K |
| 71046 |
|
58 |
57 |
$1K |
| 96374 |
|
17 |
14 |
$306.98 |
| 76856 |
|
13 |
13 |
$79.32 |
| A4215 |
Needle, sterile, any size, each |
267 |
238 |
$39.82 |
| 36415 |
|
15 |
12 |
$0.00 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
17 |
14 |
$0.00 |
| A4212 |
Non-coring needle or stylet with or without catheter |
17 |
14 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
17 |
14 |
$0.00 |