TEXAS AVENUE MEDICAL CLINIC
NPI: 1942373816
· BRYAN, TX 77802
· 207QA0401X
$125K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
559 |
$7K |
| 2019 |
583 |
$9K |
| 2020 |
801 |
$18K |
| 2021 |
1,466 |
$44K |
| 2022 |
621 |
$29K |
| 2023 |
405 |
$10K |
| 2024 |
221 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,758 |
2,328 |
$108K |
| 99354 |
|
573 |
479 |
$5K |
| 99417 |
Prolong home eval add 15m |
144 |
124 |
$5K |
| 99000 |
|
790 |
683 |
$4K |
| 99394 |
|
32 |
27 |
$2K |
| 99214 |
|
14 |
12 |
$505.38 |
| 85025 |
|
16 |
13 |
$58.00 |
| 82948 |
|
15 |
12 |
$38.07 |
| 36415 |
|
205 |
189 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
25 |
25 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
54 |
48 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
18 |
15 |
$0.00 |