COOK CHILDREN'S PHYSICIAN NETWORK
NPI: 1548230923
· FORT WORTH, TX 76104
· Pediatrics Physician
· NPI assigned 01/26/2006
$902K
Total Medicaid Paid
Provider Details
| Authorized Official | DZURIK, MATTHEW (PRESIDENT, CCPN) |
| Parent Organization | COOK CHILDREN'S PHYSICIAN NETWORK |
| NPI Enumeration Date | 01/26/2006 |
Related Entities
Other providers sharing the same authorized official: DZURIK, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
285 |
$16K |
| 2021 |
3,435 |
$244K |
| 2022 |
2,932 |
$280K |
| 2023 |
3,097 |
$293K |
| 2024 |
1,056 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
3,713 |
3,627 |
$405K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,532 |
3,472 |
$258K |
| 99205 |
Prolong outpt/office vis |
873 |
840 |
$117K |
| 96112 |
|
483 |
458 |
$48K |
| 99417 |
Prolong home eval add 15m |
1,646 |
1,561 |
$33K |
| 99245 |
|
158 |
154 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
335 |
330 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
65 |
61 |
$385.19 |