VIDALIA SURGICAL ASSOCIATES, LLC
NPI: 1124216312
· VIDALIA, GA 30474
· Specialist
· NPI assigned 10/12/2007
$409.14
Total Medicaid Paid
Provider Details
| Authorized Official | OSTEEN, TONY (CFO) |
| Parent Organization | SOUTHEAST REGIONAL CARE CORPORATION |
| NPI Enumeration Date | 10/12/2007 |
Related Entities
Other providers sharing the same authorized official: OSTEEN, TONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$409.14 |
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 |
17 |
17 |
$409.14 |