EAGLE RIVER PAIN & WELLNESS, LLC
NPI: 1003255480
· EAGLE RIVER, AK 99577
· Nurse Practitioner
· NPI assigned 06/19/2013
$185K
Total Medicaid Paid
Provider Details
| Authorized Official | SPAYD, JESSICA (OWNER) |
| NPI Enumeration Date | 06/19/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,061 |
$110K |
| 2019 |
1,456 |
$74K |
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 |
1,146 |
896 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,730 |
1,400 |
$87K |
| 80305 |
|
601 |
425 |
$7K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
24 |
$334.84 |