Medicaid Provider Spending

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

ROCKDALE BLACKHAWK LLC

NPI: 1306933692 · ROCKDALE, TX 76567 · Family Medicine Physician · NPI assigned 10/06/2006

$5K
Total Medicaid Paid
281
Total Claims
267
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialMADISON, JEFFREY (CEO)
NPI Enumeration Date10/06/2006

Related Entities

Other providers sharing the same authorized official: MADISON, JEFFREY

ProviderCityStateTotal Paid
LITTLE RIVER HEALTHCARE CENTRAL TEXAS LLC CAMERON TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 281 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 94 94 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 74 74 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28 26 $743.81
88305 Level IV - Surgical pathology, gross and microscopic examination 44 34 $251.26
71045 Radiologic examination, chest; single view 29 27 $70.72
36415 Collection of venous blood by venipuncture 12 12 $0.00