SOUTHSIDE FAMILY CLINIC LLC
NPI: 1073109930
· DELCAMBRE, LA 70528
· Family Nurse Practitioner
· NPI assigned 12/15/2020
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | DIES, JOHN (PRESIDENT) |
| NPI Enumeration Date | 12/15/2020 |
Related Entities
Other providers sharing the same authorized official: DIES, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
489 |
$17K |
| 2023 |
829 |
$35K |
| 2024 |
1,656 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,572 |
1,044 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,305 |
911 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
44 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
29 |
$0.00 |