SPINE AND SPORTS INJURY CENTER, LLC
NPI: 1053690677
· WASILLA, AK 99654
· Sports Physician Chiropractor
· NPI assigned 08/12/2011
$235K
Total Medicaid Paid
Provider Details
| Authorized Official | LARSON, KRISTOFER (MANAGING MEMBER) |
| NPI Enumeration Date | 08/12/2011 |
Related Entities
Other providers sharing the same authorized official: LARSON, KRISTOFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
330 |
$41K |
| 2022 |
845 |
$93K |
| 2023 |
642 |
$65K |
| 2024 |
523 |
$36K |
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 |
1,465 |
1,193 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
676 |
458 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
39 |
$7K |
| 99442 |
|
52 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$841.65 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
76 |
$0.00 |