PD REVIVAL MEDICAL, PLLC
NPI: 1124764030
· HELENA, MT 59601
· Medical Physician Assistant
· NPI assigned 05/12/2022
Provider Details
| Authorized Official | POWERS, HANNA (PMHNP) |
| NPI Enumeration Date | 05/12/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
203 |
$24K |
| 2024 |
75 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
121 |
76 |
$18K |
| 99417 |
Prolong home eval add 15m |
97 |
63 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
39 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$1K |