NPI: 1417060724 · ENNIS, TX 75119 · Pediatrics Physician · NPI assigned 08/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 149 | $6K |
| 2019 | 96 | $488.13 |
| 2020 | 32 | $227.36 |
| 2021 | 200 | $2K |
| 2024 | 37 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 82 | 82 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 222 | 70 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37 | 33 | $1K |
| 90461 | 119 | 29 | $254.98 | |
| 90744 | 12 | 12 | $0.00 | |
| 90698 | 15 | 15 | $0.00 | |
| 90680 | 13 | 13 | $0.00 | |
| 90670 | 14 | 14 | $0.00 |