ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP
NPI: 1649223645
· ROUND ROCK, TX 78681
· 261QA1903X
$1.09M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
41 |
$5K |
| 2021 |
4,519 |
$257K |
| 2022 |
5,511 |
$449K |
| 2023 |
3,977 |
$308K |
| 2024 |
1,576 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,348 |
6,169 |
$751K |
| 99284 |
|
1,792 |
1,670 |
$273K |
| 99282 |
|
244 |
241 |
$32K |
| 85027 |
|
2,313 |
2,056 |
$6K |
| 80053 |
|
1,227 |
1,103 |
$5K |
| 93005 |
|
565 |
498 |
$4K |
| 59025 |
|
49 |
39 |
$3K |
| 87635 |
|
58 |
53 |
$2K |
| J7030 |
Normal saline solution infus |
185 |
161 |
$2K |
| 87428 |
|
51 |
50 |
$2K |
| 87426 |
|
108 |
107 |
$2K |
| 70450 |
|
36 |
36 |
$2K |
| 71045 |
|
299 |
286 |
$1K |
| 87804 |
|
117 |
103 |
$1K |
| 96374 |
|
287 |
251 |
$1K |
| 80048 |
|
451 |
411 |
$1K |
| J2405 |
Ondansetron hcl injection |
97 |
86 |
$980.06 |
| 93306 |
|
25 |
25 |
$494.62 |
| 87430 |
|
24 |
24 |
$377.03 |
| 83690 |
|
201 |
179 |
$336.91 |
| 84484 |
|
110 |
65 |
$172.94 |
| 81001 |
|
119 |
112 |
$138.93 |
| 80076 |
|
12 |
12 |
$53.61 |
| 85610 |
|
140 |
135 |
$29.15 |
| 85730 |
|
59 |
57 |
$10.58 |
| 96375 |
|
13 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
573 |
330 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23 |
15 |
$0.00 |
| G1003 |
Cdsm medicalis |
98 |
91 |
$0.00 |