PAI PARTICIPANT 9 PA
NPI: 1679135420
· ELGIN, TX 78621
· Geriatric Medicine (Internal Medicine) Physician
· NPI assigned 07/02/2019
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | FORD, JILL (DIRECTOR OF CREDENTIALING) |
| NPI Enumeration Date | 07/02/2019 |
Related Entities
Other providers sharing the same authorized official: FORD, JILL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
6,937 |
$121.53 |
| 2021 |
8,101 |
$40K |
| 2022 |
6,211 |
$38K |
| 2023 |
4,193 |
$24K |
| 2024 |
3,176 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17,596 |
13,526 |
$75K |
| 99310 |
Prolong nursin fac eval 15m |
8,356 |
6,860 |
$37K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,686 |
1,187 |
$6K |
| 99490 |
Ccm add 20min |
566 |
562 |
$1K |
| 99318 |
|
32 |
32 |
$277.71 |
| 99304 |
|
16 |
12 |
$126.99 |
| 99493 |
|
47 |
47 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
90 |
89 |
$0.00 |
| 99439 |
|
46 |
46 |
$0.00 |
| 99484 |
|
43 |
43 |
$0.00 |
| 99307 |
|
22 |
22 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
106 |
105 |
$0.00 |
| 99491 |
Ccm add 20min |
12 |
12 |
$0.00 |