HEALTHTEXAS PROVIDER NETWORK
NPI: 1376541193
· DALLAS, TX 75246
· Gastroenterology Physician
· NPI assigned 07/14/2005
$739.66
Total Medicaid Paid
Provider Details
| Authorized Official | FOURTON, ELLEN (DIRECTOR) |
| NPI Enumeration Date | 07/14/2005 |
Related Entities
Other providers sharing the same authorized official: FOURTON, ELLEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
814 |
$650.52 |
| 2019 |
190 |
$89.14 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
915 |
458 |
$559.81 |
| 99233 |
Prolong inpt eval add15 m |
89 |
53 |
$179.85 |