DIMMIT REGIONAL HOSPITAL
NPI: 1568082477
· CARRIZO SPRINGS, TX 78834
· Internal Medicine Physician
· NPI assigned 04/21/2020
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | MELENDEZ, ALMA (OFFICE MANAGER) |
| NPI Enumeration Date | 04/21/2020 |
Related Entities
Other providers sharing the same authorized official: MELENDEZ, ALMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
454 |
$309.24 |
| 2022 |
437 |
$1K |
| 2023 |
1,107 |
$58K |
| 2024 |
476 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
651 |
475 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
578 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
987 |
664 |
$5K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
178 |
174 |
$3K |