PARK MEDICAL

NPI: 1124737408 · WHITWELL, TN 37397 · Family Medicine Physician · NPI assigned 11/16/2022

$36K

Total Medicaid Paid

1,813

Total Claims

1,243

Beneficiaries

Codes Billed

2024-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	KENNEDY, JAMES (OWNER)
NPI Enumeration Date	11/16/2022

Other providers sharing the same authorized official: KENNEDY, JAMES

Provider	City	State	Total Paid
CITIZEN'S ACTING TOGETHER CAN HELP, INC.	PHILADELPHIA	PA	$20.36M
CRISIS MANAGEMENT SERVICES	PHILADELPHIA	PA	$13.72M
U S HEALTH DEPT OF HEALTH & HUMAN SERVICES	BROWNING	MT	$99K

Year	Claims	Total Paid
2024	1,813	$36K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	878	602	$19K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	658	424	$16K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	24	20	$360.22
99308	Subsequent nursing facility care, per day, straightforward	46	35	$323.26
36415	Collection of venous blood by venipuncture	207	162	$223.60