CROCKETT MEDICAL CENTER, LLC
NPI: 1487155990
· CROCKETT, TX 75835
· Internal Medicine Physician
· NPI assigned 02/21/2018
$986.11
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: TJELMELAND, KELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$132.66 |
| 2019 |
25 |
$610.05 |
| 2021 |
52 |
$37.64 |
| 2024 |
43 |
$205.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
38 |
$742.71 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
43 |
38 |
$205.76 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
49 |
$37.64 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$0.00 |