DALLAS COUNTY HOSPITAL DISTRICT
NPI: 1730455429
· GRAND PRAIRIE, TX 75051
· 261QA0005X
$141K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,599 |
$38K |
| 2021 |
1,771 |
$45K |
| 2022 |
750 |
$28K |
| 2023 |
1,403 |
$26K |
| 2024 |
349 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1050 |
Medroxyprogesterone acetate |
985 |
906 |
$58K |
| S4993 |
Contraceptive pills for bc |
538 |
501 |
$46K |
| 81025 |
|
1,732 |
1,597 |
$10K |
| 96372 |
|
987 |
906 |
$9K |
| 99213 |
|
194 |
182 |
$5K |
| 99212 |
|
194 |
187 |
$3K |
| 59430 |
|
80 |
74 |
$3K |
| 99000 |
|
260 |
234 |
$2K |
| 85013 |
|
678 |
590 |
$1K |
| 99385 |
|
17 |
14 |
$1K |
| 99395 |
|
14 |
14 |
$698.30 |
| A4267 |
Male condom |
90 |
77 |
$361.92 |
| 86762 |
|
20 |
18 |
$241.07 |
| 87210 |
|
43 |
40 |
$191.20 |
| 90688 |
|
17 |
16 |
$157.17 |
| 90471 |
|
23 |
22 |
$104.66 |