GRANDE DUNES OBGYN AND FACIAL AESTHETICS PA
NPI: 1033529946
· MYRTLE BEACH, SC 29572
· Obstetrics & Gynecology Physician
· NPI assigned 04/30/2014
$190K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,305 |
$63K |
| 2019 |
2,844 |
$91K |
| 2020 |
891 |
$27K |
| 2021 |
111 |
$4K |
| 2022 |
36 |
$2K |
| 2023 |
71 |
$2K |
| 2024 |
33 |
$108.50 |
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 |
2,060 |
1,433 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
498 |
$52K |
| 81002 |
|
3,350 |
2,262 |
$10K |
| 76830 |
Ultrasound, transvaginal |
60 |
59 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
46 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 81025 |
|
169 |
154 |
$1K |