PREMIER ORTHOPEDICS OF FORT WORTH, PA
NPI: 1851652457
· FORT WORTH, TX 76132
· Sports Medicine (Orthopaedic Surgery) Physician
· NPI assigned 05/31/2012
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | MANNING, SONJA (MEDICAL OFFICE SUPPORT) |
| NPI Enumeration Date | 05/31/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$0.00 |
| 2019 |
163 |
$1K |
| 2020 |
127 |
$1K |
| 2021 |
646 |
$14K |
| 2022 |
1,799 |
$55K |
| 2023 |
1,114 |
$29K |
| 2024 |
244 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
989 |
920 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,471 |
1,362 |
$39K |
| 20611 |
|
432 |
372 |
$18K |
| 80305 |
|
735 |
706 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
32 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| 73565 |
|
18 |
18 |
$542.36 |
| 73562 |
|
13 |
13 |
$410.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
436 |
362 |
$45.05 |