SPORTSORTHO ANESTHESIA
NPI: 1639813447
· HARLINGEN, TX 78550
· Anesthesiology Physician
· NPI assigned 04/27/2022
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | LIDBOM, KIM (BILLING) |
| NPI Enumeration Date | 04/27/2022 |
Related Entities
Other providers sharing the same authorized official: LIDBOM, KIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
140 |
$5K |
| 2023 |
745 |
$79K |
| 2024 |
383 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00120 |
|
819 |
524 |
$61K |
| 00174 |
|
368 |
270 |
$48K |
| 00160 |
|
81 |
57 |
$8K |