NPI: 1922056993 · MINERAL WELLS, TX 76067 · Adult Medicine Physician · NPI assigned 05/04/2006
| Authorized Official | SELSOR, DOUGLAS (CFO) |
| NPI Enumeration Date | 05/04/2006 |
Other providers sharing the same authorized official: SELSOR, DOUGLAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| PALO PINTO COUNTY HOSPITAL DISTRICT | MINERAL WELLS | TX | $2.44M |
| PALO PINTO COUNTY HOSPITAL DISTRICT | MINERAL WELLS | TX | $1.82M |
| PALO PINTO COUNTY HOSPITAL DISTRICT | MINERAL WELLS | TX | $12K |
| PALO PINTO COUNTY HOSPITAL DISTRICT | SANTO | TX | $10K |
| PALO PINTO COUNTY HOSPITAL DISTRICT | MINERAL WELLS | TX | $5K |
| PALO PINTO COUNTY HOSPITAL DISTRICT | MINERAL WELLS | TX | $5K |
| PALO PINTO COUNTY HOSPITAL DISTRICT | MINERAL WELLS | TX | $3K |
| PALO PINTO COUNTY HOSPITAL DISTRICT | GORDON | TX | $2K |
| PALO PINTO COUNTY HOSPITAL DISTRICT | MINERAL WELLS | TX | $79.53 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 35 | $2K |
| 2021 | 210 | $6K |
| 2022 | 267 | $6K |
| 2023 | 51 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 285 | 234 | $6K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 108 | 83 | $3K |
| 99460 | 30 | 29 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | 14 | 13 | $950.50 |
| 99238 | Hospital discharge day management, 30 minutes or less | 17 | 16 | $934.00 |
| 76801 | 21 | 12 | $899.41 | |
| 99219 | 15 | 14 | $834.86 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 32 | 27 | $751.17 |
| 59025 | Fetal non-stress test | 41 | 27 | $644.07 |