MC MEDICAL LLC
NPI: 1013684513
· JACKSONVILLE, FL 32244
· Psychologist
· NPI assigned 08/24/2021
$653.82
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PULLURU, SOUJANYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
30 |
$653.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$462.18 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$191.64 |