COUNTRY ROADS HOUSECALLS, LLC
NPI: 1053936377
· SCOTT DEPOT, WV 25560
· Nursing Care Agency
· NPI assigned 06/11/2020
$738.43
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, LYDIA (NURSE PRACTITIONER) |
| NPI Enumeration Date | 06/11/2020 |
Related Entities
Other providers sharing the same authorized official: SMITH, LYDIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
27 |
$113.30 |
| 2024 |
57 |
$625.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
84 |
84 |
$738.43 |