ST GIANNA MOLLA CLINIC, INC
NPI: 1104426477
· DE PERE, WI 54115
· Family Medicine Physician
· NPI assigned 10/27/2020
Provider Details
| Authorized Official | GOLDSMITH, ROBIN (PRESIDENT/CHIEF MEDICAL OFFICER) |
| NPI Enumeration Date | 10/27/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
21 |
$224.84 |
| 2022 |
67 |
$510.00 |
| 2023 |
435 |
$11K |
| 2024 |
463 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
240 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
124 |
$6K |
| 3008F |
|
297 |
278 |
$2K |
| 92551 |
|
173 |
155 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
28 |
$2K |
| 99173 |
|
59 |
54 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$774.87 |