HEALTHY GUTZ PEDIATRIC CLINIC PLLC
NPI: 1548881063
· SAN ANTONIO, TX 78258
· Pediatric Gastroenterology Physician
· NPI assigned 05/06/2020
$221K
Total Medicaid Paid
Provider Details
| Authorized Official | OKWU, VERA (OWNER) |
| NPI Enumeration Date | 05/06/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
387 |
$32K |
| 2022 |
923 |
$75K |
| 2023 |
1,127 |
$75K |
| 2024 |
650 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,062 |
1,003 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,143 |
1,104 |
$59K |
| 99205 |
Prolong outpt/office vis |
473 |
455 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
409 |
406 |
$36K |