COOK CHILDREN'S MEDICAL CENTER
NPI: 1720059785
· FORT WORTH, TX 76104
· 261QA1903X
$900K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$18K |
| 2021 |
562 |
$264K |
| 2022 |
1,206 |
$239K |
| 2023 |
1,052 |
$204K |
| 2024 |
535 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
|
1,096 |
1,016 |
$487K |
| 41899 |
|
244 |
239 |
$185K |
| 42820 |
|
78 |
74 |
$139K |
| 42830 |
|
79 |
79 |
$80K |
| J1100 |
Dexamethasone sodium phos |
250 |
249 |
$9K |
| J7120 |
Ringers lactate infusion |
463 |
442 |
$41.02 |
| J3010 |
Fentanyl citrate injection |
764 |
752 |
$22.64 |
| J2250 |
Inj midazolam hydrochloride |
47 |
45 |
$6.99 |
| J3490 |
Drugs unclassified injection |
19 |
18 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
347 |
341 |
$0.00 |