SEASIDE FAMILY MEDICINE, LLC
NPI: 1043707557
· SUMMERVILLE, SC 29486
· Family Nurse Practitioner
· NPI assigned 04/19/2018
$112K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
847 |
$22K |
| 2020 |
616 |
$17K |
| 2021 |
799 |
$26K |
| 2022 |
703 |
$25K |
| 2023 |
399 |
$14K |
| 2024 |
177 |
$8K |
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 |
2,534 |
2,156 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
380 |
311 |
$5K |
| 99051 |
|
204 |
173 |
$2K |
| 96127 |
|
192 |
104 |
$950.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
13 |
$657.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
31 |
$408.71 |
| 90461 |
|
40 |
25 |
$403.60 |
| 90688 |
|
76 |
67 |
$15.39 |
| 99072 |
|
64 |
39 |
$0.00 |