COOK CHILDRENS HOME HEALTH
NPI: 1952371239
· FORT WORTH, TX 76104
· Home Infusion Agency
· NPI assigned 01/26/2006
Deactivated NPI
· This NPI was deactivated on 02/26/2007. Reactivated 12/01/2008.
$101.45
Total Medicaid Paid
Provider Details
| Authorized Official | SIMMONS, MICHAEL (PRESIDENT) |
| Parent Organization | COOK CHILDREN'S HOME HEALTH |
| NPI Enumeration Date | 01/26/2006 |
Related Entities
Other providers sharing the same authorized official: SIMMONS, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
29 |
$19.20 |
| 2024 |
19 |
$82.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4215 |
Needle, sterile, any size, each |
19 |
14 |
$82.25 |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
29 |
26 |
$19.20 |