SAM HOUSTON STATE UNIVERSITY
NPI: 1942850565
· CONROE, TX 77304
· Pediatric Hematology & Oncology Physician
· NPI assigned 09/16/2019
Provider Details
| Authorized Official | WITHERS, AMANDA (CFO AND SR VP FOR OPERATIONS) |
| Parent Organization | SAM HOUSTON STATE UNIVERSITY |
| NPI Enumeration Date | 09/16/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
68 |
$1K |
| 2023 |
77 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
88 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
14 |
$510.13 |