ST MARK'S MEDICAL CENTER
NPI: 1659638914
· LA GRANGE, TX 78945
· Pediatrics Physician
· NPI assigned 04/11/2012
Provider Details
| Authorized Official | HARTFIELD, TAMMY (CHIEF CLINICAL OFFICER) |
| NPI Enumeration Date | 04/11/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$532.38 |
| 2021 |
124 |
$3K |
| 2022 |
42 |
$879.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
102 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$960.37 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
32 |
24 |
$73.52 |