GOLDSTAR HEALTHCARE LLC
NPI: 1699427914
· BRYAN, TX 77802
· Family Medicine Physician
· NPI assigned 01/19/2022
$66.06
Total Medicaid Paid
Provider Details
| Authorized Official | OBEN, BESSEM (OWNER/AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 01/19/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
65 |
$66.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
23 |
19 |
$51.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
21 |
$14.21 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |