SUSAN L. BOULLIOUN, M.D., P.A.
NPI: 1588801609
· SEGUIN, TX 78155
· Family Medicine Physician
· NPI assigned 01/12/2009
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
204 |
$4K |
| 2019 |
201 |
$3K |
| 2020 |
117 |
$4K |
| 2021 |
526 |
$20K |
| 2022 |
404 |
$15K |
| 2023 |
251 |
$10K |
| 2024 |
190 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,451 |
1,333 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
369 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$569.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$175.20 |
| 90756 |
|
13 |
13 |
$104.12 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |