COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
NPI: 1609010131
· BENAVIDES, TX 78341
· Family Medicine Physician
· NPI assigned 04/28/2009
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | AWALT, ANN (EXECUTIVE DRIECTOR) |
| Parent Organization | COMMUNITY ACTION CORPORATION OF SOUTH TEXAS |
| NPI Enumeration Date | 04/28/2009 |
Related Entities
Other providers sharing the same authorized official: AWALT, ANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$5K |
| 2021 |
909 |
$32K |
| 2022 |
2,175 |
$56K |
| 2023 |
867 |
$25K |
| 2024 |
19 |
$368.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
658 |
563 |
$111K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
109 |
101 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
79 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
43 |
$1K |
| 3028F |
|
234 |
199 |
$0.00 |
| 1160F |
|
462 |
395 |
$0.00 |
| 3078F |
|
53 |
40 |
$0.00 |
| 2000F |
|
276 |
236 |
$0.00 |
| 1126F |
|
388 |
330 |
$0.00 |
| 2010F |
|
278 |
236 |
$0.00 |
| 1000F |
|
265 |
226 |
$0.00 |
| 3037F |
|
246 |
210 |
$0.00 |
| 1036F |
|
149 |
128 |
$0.00 |
| 1220F |
|
117 |
105 |
$0.00 |
| 3008F |
|
289 |
247 |
$0.00 |
| 2001F |
|
291 |
249 |
$0.00 |
| 3074F |
|
50 |
40 |
$0.00 |