EASTSIDE CHILDREN'S CLINIC, PLLC
NPI: 1881162287
· ALLEN, TX 75013
· 208000000X
$563K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
3,569 |
$48K |
| 2021 |
17,403 |
$233K |
| 2022 |
7,127 |
$104K |
| 2023 |
7,642 |
$125K |
| 2024 |
3,318 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
4,219 |
3,764 |
$190K |
| 99213 |
|
4,439 |
3,864 |
$141K |
| 99392 |
|
690 |
613 |
$42K |
| S8301 |
Infect control supplies nos |
8,540 |
7,393 |
$37K |
| 90460 |
|
4,074 |
1,944 |
$33K |
| 99391 |
|
443 |
393 |
$26K |
| 99212 |
|
961 |
857 |
$20K |
| 96110 |
|
2,475 |
2,204 |
$16K |
| 87426 |
|
207 |
198 |
$8K |
| 87880 |
|
562 |
528 |
$7K |
| 92551 |
|
870 |
802 |
$6K |
| 87637 |
|
47 |
47 |
$5K |
| 99000 |
|
1,295 |
1,052 |
$5K |
| 99393 |
|
80 |
72 |
$5K |
| 90461 |
|
944 |
788 |
$5K |
| 87804 |
|
348 |
163 |
$4K |
| 99215 |
Prolong outpt/office vis |
55 |
49 |
$4K |
| 99177 |
|
878 |
812 |
$4K |
| 99394 |
|
21 |
19 |
$1K |
| 94760 |
|
3,257 |
2,873 |
$856.80 |
| 99429 |
|
43 |
34 |
$535.68 |
| 96160 |
|
2,386 |
2,199 |
$529.07 |
| 87807 |
|
44 |
41 |
$439.86 |
| 99211 |
|
26 |
25 |
$337.48 |
| 36415 |
|
779 |
502 |
$99.75 |
| 96127 |
|
129 |
118 |
$94.50 |
| 85018 |
|
54 |
53 |
$72.41 |
| 90686 |
|
330 |
314 |
$36.89 |
| 90688 |
|
115 |
114 |
$1.03 |
| 90670 |
|
329 |
304 |
$0.09 |
| 90680 |
|
58 |
53 |
$0.04 |
| 90648 |
|
12 |
12 |
$0.01 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90672 |
|
37 |
37 |
$0.00 |
| 90698 |
|
88 |
82 |
$0.00 |
| 36416 |
|
212 |
173 |
$0.00 |