MEMORIAL HERMANN HEALTH SYSTEM
NPI: 1710985098
· HOUSTON, TX 77030
· 261QR0400X
$137K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,292 |
$14K |
| 2022 |
1,926 |
$4K |
| 2023 |
1,858 |
$107K |
| 2024 |
2,137 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection,onabotulinumtoxina |
170 |
163 |
$79K |
| 97530 |
|
3,615 |
928 |
$15K |
| 76942 |
|
243 |
230 |
$13K |
| 99213 |
|
201 |
191 |
$12K |
| 64643 |
|
28 |
28 |
$7K |
| 64642 |
|
16 |
16 |
$4K |
| G0463 |
Hospital outpt clinic visit |
677 |
620 |
$4K |
| 51705 |
|
14 |
12 |
$921.20 |
| 62369 |
|
259 |
250 |
$802.97 |
| 95873 |
|
15 |
15 |
$782.97 |
| 97112 |
|
727 |
249 |
$771.85 |
| 97110 |
|
1,812 |
603 |
$359.03 |
| J0475 |
Baclofen 10 mg injection |
219 |
213 |
$135.56 |
| 64644 |
|
13 |
13 |
$0.00 |
| 97140 |
|
187 |
63 |
$0.00 |
| 97166 |
|
17 |
16 |
$0.00 |