OLD TOWNE MEDICAL LLC
NPI: 1013312172
· OLIVE BRANCH, MS 38654
· Family Nurse Practitioner
· NPI assigned 10/30/2014
$405.04
Total Medicaid Paid
Provider Details
| Authorized Official | BRAME, SUSAN (OWNER) |
| NPI Enumeration Date | 10/30/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
17 |
$405.04 |
| 2023 |
15 |
$0.00 |
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 |
17 |
16 |
$405.04 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$0.00 |