SPANISH TRACE CLINIC
NPI: 1639163363
· TEXARKANA, AR 71854
· Family Medicine Physician
· NPI assigned 09/08/2005
$155K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,588 |
$21K |
| 2019 |
1,667 |
$23K |
| 2020 |
4,880 |
$44K |
| 2021 |
3,519 |
$38K |
| 2022 |
2,588 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,840 |
3,970 |
$68K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
5,591 |
3,837 |
$55K |
| 99310 |
Prolong nursin fac eval 15m |
1,645 |
1,487 |
$21K |
| 99307 |
|
808 |
233 |
$5K |
| 99305 |
|
213 |
205 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
42 |
38 |
$851.60 |
| 99318 |
|
32 |
32 |
$834.48 |
| 99304 |
|
71 |
71 |
$678.73 |