Medicaid Provider Spending

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

PARK CLINIC PA

NPI: 1538263702 · IOWA PARK, TX 76367 · Clinic/Center · NPI assigned 09/11/2006

$8K
Total Medicaid Paid
604
Total Claims
582
Beneficiary Records
5
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialAVILA, FAUSTO (SECT TREASURE)
NPI Enumeration Date09/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 404 $4K
2019 200 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99310 Prolong nursin fac eval 15m 475 459 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87 81 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 16 16 $90.12
90656 13 13 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00