DOCTOR MOM PLLC
NPI: 1750941118
· ALLEN, TX 75013
· Family Medicine Physician
· NPI assigned 06/18/2019
$686.58
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
952 |
$522.62 |
| 2022 |
39 |
$163.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
299 |
235 |
$643.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
18 |
$43.28 |
| 99001 |
|
256 |
187 |
$0.00 |
| 99072 |
|
352 |
244 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
22 |
$0.00 |