BRENTWOOD CHILDRENS CLINIC
NPI: 1003958901
· BRENTWOOD, TN 37027
· Pediatrics Physician
· NPI assigned 02/14/2007
$996.07
Total Medicaid Paid
Provider Details
| Authorized Official | STOUT, ANGELA (BILLING MANAGER) |
| NPI Enumeration Date | 02/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
16 |
$499.13 |
| 2021 |
17 |
$431.72 |
| 2024 |
21 |
$65.22 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
26 |
$930.85 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
21 |
13 |
$65.22 |