Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BRIDGEPORT › DAVID A RAY D O P A

DAVID A RAY D O P A

NPI: 1417081142 · BRIDGEPORT, TX 76426 · Family Medicine Physician · NPI assigned 03/15/2007

$50K
Total Medicaid Paid
1,615
Total Claims
1,059
Beneficiaries
6
Codes Billed
2020-09
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRAY, DAVID (DOCTOR)
NPI Enumeration Date03/15/2007

Related Entities

Other providers sharing the same authorized official: RAY, DAVID

ProviderCityStateTotal Paid
DAVID A RAY DO PA BRIDGEPORT TX $734K
DAVERA CORPORATION GRANTS PASS OR $4K
PHYSICAL THERAPY CENTERS OF IDAHO BOISE ID $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 100 $1K
2021 502 $21K
2022 595 $13K
2023 287 $10K
2024 131 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 288 283 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 179 177 $14K
90460 Immunization administration through 18 years of age via any route, first or only component 879 385 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 68 63 $4K
90461 186 136 $1K
90734 15 15 $0.00