Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTHTEXAS-MED PROVIDER

NPI: 1992700512 · DALLAS, TX 75246 · Internal Medicine Physician · NPI assigned 06/20/2005

$11K
Total Medicaid Paid
23,160
Total Claims
22,737
Beneficiaries
39
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialFOURTON, ELLEN (DIRECTOR)
NPI Enumeration Date06/20/2005

Related Entities

Other providers sharing the same authorized official: FOURTON, ELLEN

ProviderCityStateTotal Paid
HEALTHTEXAS PROVIDER NETWORK DALLAS TX $739.66
HEALTHTEXAS PROVIDER NETWORK TERRELL TX $214.11
HEALTHTEXAS PROVIDER NETWORK WAXAHACHIE TX $131.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,332 $11K
2019 828 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 497 481 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40 40 $541.09
80053 Comprehensive metabolic panel 4,320 4,233 $36.38
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,458 3,391 $17.90
84443 Thyroid stimulating hormone (TSH) 2,132 2,109 $17.43
80061 Lipid panel 2,766 2,728 $12.48
83036 Hemoglobin; glycosylated (A1C) 2,087 2,058 $11.19
82746 26 26 $0.00
85027 194 194 $0.00
86140 200 198 $0.00
82607 324 316 $0.00
82728 287 281 $0.00
80048 Basic metabolic panel (calcium, ionized) 725 694 $0.00
36415 Collection of venous blood by venipuncture 272 262 $0.00
81001 875 848 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 996 975 $0.00
86803 312 304 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 53 53 $0.00
82043 701 697 $0.00
83550 270 265 $0.00
85652 305 300 $0.00
84479 25 24 $0.00
84436 30 29 $0.00
83735 26 26 $0.00
80069 54 51 $0.00
G0008 Administration of influenza virus vaccine 43 43 $0.00
87340 12 12 $0.00
82550 13 13 $0.00
84439 485 479 $0.00
83540 320 314 $0.00
84550 174 169 $0.00
80076 94 92 $0.00
82570 608 603 $0.00
90682 41 41 $0.00
85007 176 176 $0.00
84466 19 18 $0.00
81003 66 66 $0.00
83970 115 110 $0.00
84156 19 18 $0.00