Medicaid Provider Spending

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

SOUTH PLAINS PEDIATRIC CARDIOLOGY, P.A.

NPI: 1437443538 · LUBBOCK, TX 79413 · Pediatric Cardiology Physician · NPI assigned 06/06/2011

$3K
Total Medicaid Paid
64
Total Claims
64
Beneficiary Records
4
Codes Billed
2018-06
First Month
2018-08
Last Month

Provider Details

Authorized OfficialSOPONTAMMARAK, SOMKIAT (OWNER)
NPI Enumeration Date06/06/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 12 12 $2K
93320 12 12 $533.28
93000 28 28 $387.00
93325 12 12 $247.28