WICHITA FALLS I ENTERPRISES, LLC
NPI: 1477158244
· WICHITA FALLS, TX 76310
· 314000000X
$576.97
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
75 |
$0.00 |
| 2022 |
434 |
$576.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97112 |
|
62 |
13 |
$576.97 |
| G0008 |
Admin influenza virus vac |
14 |
14 |
$0.00 |
| 90694 |
|
14 |
14 |
$0.00 |
| 97150 |
|
82 |
25 |
$0.00 |
| 97110 |
|
262 |
50 |
$0.00 |
| 97530 |
|
75 |
12 |
$0.00 |