MEDINA PRIMARY CARE PLLC
NPI: 1922544592
· PLANO, TX 75074
· Clinic/Center
· NPI assigned 01/06/2017
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | ALI, MIR (PHYSICAN OWNER) |
| NPI Enumeration Date | 01/06/2017 |
Related Entities
Other providers sharing the same authorized official: ALI, MIR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
180 |
$4K |
| 2021 |
1,113 |
$33K |
| 2022 |
1,193 |
$38K |
| 2023 |
626 |
$21K |
| 2024 |
253 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,087 |
1,005 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,330 |
1,190 |
$45K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
573 |
536 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
153 |
$1K |
| 90688 |
|
133 |
109 |
$964.00 |
| 99385 |
|
13 |
13 |
$891.87 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
17 |
$718.32 |
| 90756 |
|
33 |
31 |
$380.92 |