TEXAS STAR MED CLINIC LLC
NPI: 1528658648
· SAN ANTONIO, TX 78229
· General Practice Physician
· NPI assigned 01/22/2021
$907K
Total Medicaid Paid
Provider Details
| Authorized Official | BERRY, LUKE (OWNER) |
| NPI Enumeration Date | 01/22/2021 |
Related Entities
Other providers sharing the same authorized official: BERRY, LUKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
28,443 |
$656K |
| 2022 |
26,374 |
$245K |
| 2023 |
195 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51,719 |
36,704 |
$840K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,244 |
1,093 |
$46K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,805 |
1,443 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
185 |
153 |
$489.85 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
19 |
$131.72 |
| 99001 |
|
40 |
38 |
$48.33 |