INDIEMD NETWORK LLC
NPI: 1275256968
· BOERNE, TX 78006
· Wound Care Registered Nurse
· NPI assigned 09/19/2022
$930.28
Total Medicaid Paid
Provider Details
| Authorized Official | FRAZIER, JASON (MANAGING MEMBER) |
| NPI Enumeration Date | 09/19/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
74 |
$930.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
50 |
24 |
$759.98 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
24 |
12 |
$170.30 |