ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
NPI: 1003515008
· BYRON CENTER, MI 49315
· Physician Assistant
· NPI assigned 02/28/2023
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | GREEN, DANIEL (VP FINANCE) |
| NPI Enumeration Date | 02/28/2023 |
Related Entities
Other providers sharing the same authorized official: GREEN, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
743 |
$32K |
| 2024 |
1,709 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
|
563 |
563 |
$34K |
| 99213 |
|
663 |
652 |
$32K |
| 99214 |
|
254 |
252 |
$18K |
| 99204 |
|
100 |
100 |
$10K |
| 20610 |
|
297 |
282 |
$9K |
| 73564 |
|
39 |
39 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
111 |
110 |
$491.85 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
38 |
38 |
$356.57 |
| 73630 |
|
15 |
13 |
$330.86 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
43 |
41 |
$276.71 |
| 3074F |
|
179 |
175 |
$0.00 |
| 3079F |
|
74 |
74 |
$0.00 |
| 3078F |
|
62 |
62 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |