DEVINE FAMILY CARE PRACTICE LLC
NPI: 1053828244
· GWYNN OAK, MD 21207
· Family Medicine Physician
· NPI assigned 01/09/2018
$197K
Total Medicaid Paid
Provider Details
| Authorized Official | MBAH, STELLA (CMO/OWNER) |
| NPI Enumeration Date | 01/09/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
125 |
$12K |
| 2021 |
489 |
$49K |
| 2022 |
602 |
$60K |
| 2023 |
337 |
$41K |
| 2024 |
298 |
$34K |
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 |
1,436 |
1,273 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
286 |
$28K |
| 0001A |
|
17 |
16 |
$520.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
16 |
$124.04 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
32 |
$76.48 |
| 81003 |
|
15 |
14 |
$26.00 |