Medicaid Provider Spending

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

WAGNER MEDICAL CLINIC L.L.P.

NPI: 1356322127 · MOULTON, TX 77975 · Physician Assistant · NPI assigned 11/09/2005

$31K
Total Medicaid Paid
364
Total Claims
300
Beneficiaries
1
Codes Billed
2021-06
First Month
2023-12
Last Month

Provider Details

Authorized OfficialWAGNER, RALPH (MD)
NPI Enumeration Date11/09/2005

Related Entities

Other providers sharing the same authorized official: WAGNER, RALPH

ProviderCityStateTotal Paid
WAGNER MEDICAL CLINIC L.L.P. SHINER TX $151K
DRS WAGNER & WAGNER PA SHINER TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 108 $10K
2022 121 $11K
2023 135 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 364 300 $31K