PEDIATRIC URGENT CARE CENTER OF FORT WORTH, P.A..
NPI: 1851668149
· FORT WORTH, TX 76109
· Pediatric Emergency Medicine (Emergency Medicine) Physician
· NPI assigned 11/30/2011
$1.52M
Total Medicaid Paid
Provider Details
| Authorized Official | COWAN, MICHAEL (OWNER) |
| NPI Enumeration Date | 11/30/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$1K |
| 2020 |
1,865 |
$89K |
| 2021 |
8,170 |
$417K |
| 2022 |
12,801 |
$782K |
| 2023 |
3,995 |
$232K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
|
1,577 |
1,523 |
$529K |
| 99214 |
|
3,811 |
3,556 |
$303K |
| 99213 |
|
3,074 |
2,852 |
$226K |
| 99203 |
|
2,291 |
2,248 |
$192K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
4,237 |
3,821 |
$82K |
| 99204 |
|
713 |
705 |
$66K |
| 99202 |
|
823 |
798 |
$55K |
| 99212 |
|
553 |
482 |
$31K |
| 87804 |
|
3,896 |
2,316 |
$18K |
| 87880 |
|
2,481 |
2,408 |
$13K |
| 87651 |
|
130 |
129 |
$4K |
| 90471 |
|
21 |
21 |
$1K |
| 0071A |
|
16 |
16 |
$640.00 |
| 87635 |
|
207 |
189 |
$440.00 |
| 87426 |
|
106 |
94 |
$150.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
42 |
$11.52 |
| 99051 |
|
2,645 |
2,525 |
$7.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 87634 |
|
24 |
24 |
$0.00 |
| 87502 |
|
23 |
23 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 0241U |
|
76 |
74 |
$0.00 |
| 87807 |
|
55 |
55 |
$0.00 |