WESTSIDE FAMILY MEDICINE
NPI: 1023146354
· RIO RANCHO, NM 87124
· Family Medicine Physician
· NPI assigned 02/28/2007
Provider Details
| Authorized Official | ROBAK, LEE (OWNER) |
| NPI Enumeration Date | 02/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
260 |
$18K |
| 2019 |
244 |
$20K |
| 2020 |
145 |
$13K |
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 |
610 |
585 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$613.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$267.00 |
| 90686 |
|
12 |
12 |
$244.32 |