RAINBOW PEDIATRIC CLINIC
NPI: 1689755274
· WESLACO, TX 78596
· Pediatrics Physician
· NPI assigned 10/18/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KUTUGATA, JUDY (BUSINESS MANAGER) |
| NPI Enumeration Date | 10/18/2006 |
Related Entities
Other providers sharing the same authorized official: KUTUGATA, JUDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
91 |
$0.00 |
| 2021 |
305 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
20 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
15 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
99 |
57 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
102 |
55 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111 |
71 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
15 |
$0.00 |
| 87807 |
|
16 |
12 |
$0.00 |