HEALTHTEXAS PROVIDER NETWORK
NPI: 1336398171
· WAXAHACHIE, TX 75165
· Internal Medicine Physician
· NPI assigned 09/17/2008
$131.70
Total Medicaid Paid
Provider Details
| Authorized Official | FOURTON, ELLEN (DIRECTOR) |
| NPI Enumeration Date | 09/17/2008 |
Related Entities
Other providers sharing the same authorized official: FOURTON, ELLEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$131.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$131.70 |