MED PAVILION PC
NPI: 1871643007
· MINERAL WELLS, TX 76067
· Pediatrics Physician
· NPI assigned 01/11/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
207 |
$3K |
| 2021 |
344 |
$5K |
| 2022 |
305 |
$5K |
| 2023 |
241 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
236 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
706 |
341 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
44 |
$3K |
| 90461 |
|
43 |
38 |
$280.44 |
| 90686 |
|
36 |
35 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |