STONEWALL MEMORIAL HOSPITAL
NPI: 1336547587
· SPUR, TX 79370
· Family Medicine Physician
· NPI assigned 12/19/2014
$108K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MOORHEAD, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$3K |
| 2021 |
97 |
$17K |
| 2022 |
172 |
$34K |
| 2023 |
162 |
$34K |
| 2024 |
98 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
542 |
499 |
$108K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$228.81 |