NASA PEDIATRICS TEXAS CITY PLLC
NPI: 1295298578
· TEXAS CITY, TX 77590
· Health Service Clinic/Center
· NPI assigned 04/12/2019
$617.28
Total Medicaid Paid
Provider Details
| Authorized Official | RIVERA-MATOS, IDALIA (MEDICAL DIRECTOR) |
| Parent Organization | NASA PEDIATRICS, PLLC |
| NPI Enumeration Date | 04/12/2019 |
Related Entities
Other providers sharing the same authorized official: RIVERA-MATOS, IDALIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
18 |
$617.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
16 |
$617.28 |