EAST TEXAS INTERNAL MEDICINE PA
NPI: 1700055001
· LUFKIN, TX 75904
· Internal Medicine Physician
· NPI assigned 02/21/2008
$995.70
Total Medicaid Paid
Provider Details
| Authorized Official | SHIPLEY, DORIS (OFFICE MANAGER) |
| NPI Enumeration Date | 02/21/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$995.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$995.70 |