COOSA VALLEY UROLOGY, P.C.
NPI: 1083831804
· SYLACAUGA, AL 35150
· Specialist
· NPI assigned 04/20/2007
$332.20
Total Medicaid Paid
Provider Details
| Authorized Official | PACHA, MAMOUN (OWNER) |
| NPI Enumeration Date | 04/20/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
56 |
$332.20 |
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 |
20 |
13 |
$332.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
12 |
$0.00 |
| 1111F |
|
18 |
12 |
$0.00 |