H. SPRAGUE TAVEAU IV DO PA
NPI: 1306930250
· KILLEEN, TX 76549
· 208D00000X
$932.81
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
211 |
$339.47 |
| 2020 |
40 |
$233.46 |
| 2021 |
41 |
$359.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
167 |
104 |
$749.99 |
| 97597 |
|
125 |
73 |
$182.82 |