CLINICA EMMANUEL NINOS Y ADULTOS LLC
NPI: 1881048049
· MISSION, TX 78573
· 207Q00000X
$328K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
367 |
$3K |
| 2019 |
197 |
$2K |
| 2020 |
1,443 |
$10K |
| 2021 |
3,811 |
$61K |
| 2022 |
6,566 |
$112K |
| 2023 |
4,237 |
$87K |
| 2024 |
2,519 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,550 |
4,674 |
$169K |
| 86769 |
|
1,018 |
917 |
$33K |
| 99214 |
|
525 |
448 |
$23K |
| 87804 |
|
1,799 |
983 |
$22K |
| 99212 |
|
1,110 |
1,020 |
$20K |
| 87426 |
|
424 |
406 |
$17K |
| 87880 |
|
1,192 |
1,140 |
$14K |
| 96372 |
|
1,086 |
629 |
$14K |
| 99394 |
|
55 |
52 |
$4K |
| 99050 |
|
186 |
168 |
$2K |
| 99000 |
|
223 |
218 |
$2K |
| 99203 |
|
44 |
41 |
$2K |
| 90460 |
|
200 |
72 |
$2K |
| 92552 |
|
113 |
112 |
$1K |
| 99051 |
|
1,234 |
1,031 |
$866.52 |
| 90471 |
|
96 |
83 |
$817.62 |
| 99211 |
|
82 |
76 |
$631.58 |
| J1885 |
Ketorolac tromethamine inj |
559 |
496 |
$245.95 |
| J1100 |
Dexamethasone sodium phos |
580 |
517 |
$197.99 |
| 81000 |
|
69 |
61 |
$185.90 |
| J0696 |
Ceftriaxone sodium injection |
164 |
154 |
$60.42 |
| G2012 |
Brief check in by md/qhp |
212 |
146 |
$48.64 |
| 96110 |
|
12 |
12 |
$44.90 |
| 90686 |
|
17 |
15 |
$41.06 |
| G2010 |
Remot image submit by pt |
139 |
97 |
$40.36 |
| G2211 |
Complex e/m visit add on |
207 |
170 |
$16.01 |
| 90461 |
|
23 |
13 |
$7.84 |
| G0402 |
Initial preventive exam |
28 |
27 |
$0.00 |
| 96160 |
|
28 |
27 |
$0.00 |
| 99173 |
|
31 |
29 |
$0.00 |
| 36415 |
|
1,069 |
978 |
$0.00 |
| 96127 |
|
31 |
30 |
$0.00 |
| 97802 |
|
20 |
20 |
$0.00 |
| 1170F |
|
14 |
12 |
$0.00 |