LIVE OAK ALLERGY & ASTHMA CLINIC; PA
NPI: 1578672838
· LIVE OAK, TX 78233
· Allergy Physician
· NPI assigned 08/30/2006
$701K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MARTINEZ, MIGUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
847 |
$23K |
| 2021 |
3,610 |
$175K |
| 2022 |
3,921 |
$218K |
| 2023 |
3,122 |
$190K |
| 2024 |
1,299 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
644 |
617 |
$221K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,849 |
3,601 |
$176K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
528 |
305 |
$145K |
| 99205 |
Prolong outpt/office vis |
468 |
438 |
$47K |
| 95117 |
|
3,939 |
1,679 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
288 |
275 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
656 |
$22K |
| 94375 |
|
573 |
556 |
$16K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
101 |
88 |
$10K |
| 95115 |
|
864 |
443 |
$6K |
| A4617 |
Mouth piece |
826 |
799 |
$2K |
| 94010 |
|
32 |
31 |
$680.67 |