SOUTH LIMESTONE HOSPITAL DISTRICT
NPI: 1720404981
· ROUND ROCK, TX 78665
· 314000000X
$137.70
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,474 |
$0.00 |
| 2022 |
2,863 |
$0.00 |
| 2023 |
1,801 |
$137.70 |
| 2024 |
475 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
2,660 |
347 |
$137.70 |
| 87426 |
|
1,707 |
491 |
$0.00 |
| 97112 |
|
258 |
64 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 97530 |
|
1,706 |
247 |
$0.00 |
| 97150 |
|
256 |
65 |
$0.00 |