Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON

NPI: 1821054883 · GALVESTON, TX 77555 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 04/26/2006

$21K
Total Medicaid Paid
504
Total Claims
450
Beneficiaries
14
Codes Billed
2021-09
First Month
2021-09
Last Month

Provider Details

Authorized OfficialMOUTON, CHARLES (PRESIDENT AD INTERIM)
NPI Enumeration Date04/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 504 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 164 161 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 96 56 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23 23 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 25 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 24 24 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 24 24 $550.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13 13 $512.93
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13 13 $512.93
97530 Therapeutic activities, direct patient contact, each 15 minutes 23 15 $508.20
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13 13 $319.62
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28 27 $219.37
86780 12 12 $164.59
87086 Culture, bacterial; quantitative colony count, urine 15 15 $134.22
81002 30 29 $113.34