MOOSE CREEK MEDICAL CLINIC LLC
NPI: 1053883595
· WASILLA, AK 99654
· Family Nurse Practitioner
· NPI assigned 12/21/2018
$413K
Total Medicaid Paid
Provider Details
| Authorized Official | BROCK, KIMBERLI (ADVANCED NURSE PRACTITIONER, BUSINE) |
| NPI Enumeration Date | 12/21/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
626 |
$47K |
| 2020 |
1,165 |
$104K |
| 2021 |
1,030 |
$94K |
| 2022 |
755 |
$67K |
| 2023 |
682 |
$62K |
| 2024 |
351 |
$38K |
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 |
4,058 |
3,596 |
$377K |
| 99215 |
Prolong outpt/office vis |
183 |
171 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
64 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
53 |
$4K |
| 81005 |
|
34 |
28 |
$22.32 |
| 36415 |
Collection of venous blood by venipuncture |
213 |
190 |
$0.00 |