EAST TEXAS FAMILY HEALTHCARE PLLC
NPI: 1811121387
· WOODVILLE, TX 75979
· Pediatrics Physician
· NPI assigned 05/12/2009
$323K
Total Medicaid Paid
Provider Details
| Authorized Official | BUTTERS, TRACY (MANAGER) |
| NPI Enumeration Date | 05/12/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
186 |
$12K |
| 2021 |
1,229 |
$102K |
| 2022 |
884 |
$78K |
| 2023 |
884 |
$72K |
| 2024 |
567 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,660 |
2,630 |
$322K |
| 87428 |
|
14 |
14 |
$304.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
19 |
$159.69 |
| 97803 |
|
28 |
28 |
$77.55 |
| S9451 |
Exercise classes, non-physician provider, per session |
28 |
28 |
$0.00 |