SAREPTA MEDICAL CLINIC
NPI: 1003282161
· INDIANAPOLIS, IN 46241
· Urgent Care Clinic/Center
· NPI assigned 08/12/2015
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | LIMBIL, TONY (CEO) |
| NPI Enumeration Date | 08/12/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
137 |
$5K |
| 2021 |
100 |
$7K |
| 2022 |
425 |
$35K |
| 2023 |
429 |
$37K |
| 2024 |
191 |
$18K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,065 |
705 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
136 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
25 |
$2K |