INTERNAL MEDICINE DIAGNOSTICS INC
NPI: 1114913936
· CHEROKEE VILLAGE, AR 72529
· Internal Medicine Physician
· NPI assigned 09/27/2005
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | SIDHU, NIRMAL (OFFICE MANAGER) |
| NPI Enumeration Date | 09/27/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
603 |
$20K |
| 2019 |
612 |
$18K |
| 2020 |
657 |
$21K |
| 2021 |
453 |
$17K |
| 2022 |
300 |
$12K |
| 2023 |
254 |
$10K |
| 2024 |
117 |
$3K |
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 |
2,533 |
2,170 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
299 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
12 |
$274.40 |
| 90756 |
|
34 |
33 |
$138.96 |
| Q3014 |
Telehealth originating site facility fee |
24 |
23 |
$67.67 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$0.00 |