FAIRVIEW HEIGHTS MEDICAL GROUP SC
NPI: 1073022000
· SAINT LOUIS, MO 63141
· Medical Specialty Clinic/Center
· NPI assigned 09/21/2017
$406.33
Total Medicaid Paid
Provider Details
| Authorized Official | ELLENA, JOHN (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 09/21/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
14 |
$60.70 |
| 2024 |
65 |
$345.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
79 |
58 |
$406.33 |