SOUTH CENTRAL FAMILY PRACTICE CLINIC PC
NPI: 1003967753
· SOLDOTNA, AK 99669
· Family Medicine Physician
· NPI assigned 01/16/2007
$256K
Total Medicaid Paid
Provider Details
| Authorized Official | BAILON, GLADYS (PRESIDENT) |
| NPI Enumeration Date | 01/16/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
65 |
$4K |
| 2019 |
18 |
$892.00 |
| 2020 |
659 |
$29K |
| 2021 |
1,166 |
$69K |
| 2022 |
643 |
$51K |
| 2023 |
883 |
$66K |
| 2024 |
368 |
$36K |
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 |
1,616 |
1,259 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
896 |
716 |
$67K |
| 99215 |
Prolong outpt/office vis |
18 |
12 |
$2K |
| 81002 |
|
134 |
109 |
$35.40 |
| 36415 |
Collection of venous blood by venipuncture |
477 |
378 |
$0.00 |
| 99000 |
|
661 |
484 |
$0.00 |