OCHILTREE HOSPITAL DISTRICT
NPI: 1528557410
· PERRYTON, TX 79070
· Rural Health Clinic/Center
· NPI assigned 05/07/2018
$543K
Total Medicaid Paid
Provider Details
| Authorized Official | JUDICE, KELLY (INTERIM CEO) |
| NPI Enumeration Date | 05/07/2018 |
Related Entities
Other providers sharing the same authorized official: JUDICE, KELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
128 |
$14K |
| 2021 |
991 |
$115K |
| 2022 |
1,441 |
$173K |
| 2023 |
1,400 |
$185K |
| 2024 |
434 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,059 |
3,185 |
$537K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
31 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
201 |
191 |
$68.47 |
| 90461 |
|
90 |
89 |
$0.00 |