PREVENTATIVE PRIMARY CARE
NPI: 1043531007
· TAYLOR, MI 48180
· 363LF0000X
$313K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,441 |
$199K |
| 2019 |
1,195 |
$99K |
| 2020 |
163 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
2,967 |
1,504 |
$245K |
| 96154 |
|
630 |
347 |
$49K |
| 96167 |
|
163 |
54 |
$15K |
| H2000 |
Comp multidisipln evaluation |
39 |
39 |
$4K |