NORTHSHORE MEDICAL ASSOCIATION PLLC
NPI: 1760781157
· HOUSTON, TX 77015
· Family Medicine Physician
· NPI assigned 03/24/2011
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | HEARN, DONALD (MANAGER) |
| NPI Enumeration Date | 03/24/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,278 |
$43K |
| 2019 |
240 |
$8K |
| 2020 |
1,131 |
$60K |
| 2021 |
262 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99423 |
|
1,393 |
347 |
$71K |
| 99444 |
|
846 |
218 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
166 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
28 |
$244.56 |
| 93000 |
|
14 |
13 |
$34.96 |
| 3725F |
|
249 |
197 |
$0.00 |
| 3288F |
|
247 |
196 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
131 |
112 |
$0.00 |
| 1090F |
|
246 |
195 |
$0.00 |
| 1126F |
|
243 |
180 |
$0.00 |
| 1170F |
|
247 |
196 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
36 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
20 |
$0.00 |