NPI: 1902401458 · DALLAS, TX 75247 · Family Medicine Physician · NPI assigned 12/02/2020
Authorized official CERISE, FREDERICK controls 20+ related entities in our dataset. Read more
| Authorized Official | CERISE, FREDERICK (PRESIDENT & CEO) |
| NPI Enumeration Date | 12/02/2020 |
Other providers sharing the same authorized official: CERISE, FREDERICK
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,252 | $219.52 |
| 2021 | 5,630 | $9K |
| 2022 | 10,499 | $43K |
| 2023 | 8,445 | $59K |
| 2024 | 4,442 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12,279 | 4,057 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 287 | 241 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 184 | 153 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 881 | 619 | $8K |
| 90461 | 3,901 | 3,032 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 814 | 645 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 835 | 395 | $304.88 |
| 90474 | 163 | 124 | $154.85 | |
| 90677 | 495 | 486 | $2.06 | |
| 90686 | 1,235 | 1,096 | $2.04 | |
| 90647 | 1,871 | 1,783 | $0.02 | |
| 90723 | 2,244 | 2,082 | $0.01 | |
| 90681 | 1,224 | 1,180 | $0.01 | |
| 90633 | 671 | 632 | $0.01 | |
| 90670 | 2,008 | 1,851 | $0.01 | |
| 3074F | 25 | 24 | $0.00 | |
| 90732 | 209 | 168 | $0.00 | |
| 90680 | 54 | 44 | $0.00 | |
| 90716 | 149 | 140 | $0.00 | |
| 90656 | 28 | 28 | $0.00 | |
| 90700 | 398 | 356 | $0.00 | |
| 90707 | 167 | 150 | $0.00 | |
| 90648 | 134 | 103 | $0.00 | |
| 90710 | 12 | 12 | $0.00 |