NPI: 1083162432 · SAUGET, IL 62206 · Family Medicine Physician · NPI assigned 09/14/2016
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (PRESIDENT/CEO) |
| NPI Enumeration Date | 09/14/2016 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 623 | $46K |
| 2021 | 84 | $12K |
| 2022 | 196 | $23K |
| 2023 | 185 | $26K |
| 2024 | 272 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 988 | 928 | $135K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 78 | 78 | $0.00 |
| 3008F | 31 | 30 | $0.00 | |
| 1126F | 17 | 17 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 175 | 172 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58 | 49 | $0.00 |
| 1036F | 13 | 12 | $0.00 |