T W WAGNER INC
NPI: 1720183031
· MANILA, AR 72442
· Family Nurse Practitioner
· NPI assigned 09/13/2006
$347K
Total Medicaid Paid
Provider Details
| Authorized Official | WAGNER, TOMMY (OWNER) |
| NPI Enumeration Date | 09/13/2006 |
Related Entities
Other providers sharing the same authorized official: WAGNER, TOMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,001 |
$54K |
| 2019 |
1,730 |
$44K |
| 2020 |
1,536 |
$38K |
| 2021 |
1,545 |
$41K |
| 2022 |
2,526 |
$61K |
| 2023 |
2,560 |
$63K |
| 2024 |
1,406 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,970 |
6,754 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,124 |
2,507 |
$112K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
517 |
461 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
943 |
866 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
543 |
483 |
$6K |
| 90756 |
|
47 |
38 |
$330.25 |
| 90658 |
|
17 |
15 |
$153.40 |
| 3078F |
|
100 |
91 |
$0.00 |
| 3074F |
|
43 |
37 |
$0.00 |