SCOTT & WHITE HOSPITAL - MARBLE FALLS
NPI: 1902107568
· SAN SABA, TX 76877
· Rural Health Clinic/Center
· NPI assigned 11/12/2010
$855K
Total Medicaid Paid
Provider Details
| Authorized Official | OLS, TIMOTHY (CEO) |
| NPI Enumeration Date | 11/12/2010 |
Related Entities
Other providers sharing the same authorized official: OLS, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
402 |
$73K |
| 2021 |
953 |
$178K |
| 2022 |
1,196 |
$228K |
| 2023 |
1,233 |
$232K |
| 2024 |
739 |
$144K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,341 |
3,838 |
$845K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
65 |
54 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
32 |
$0.00 |