SOUTH COAST HEALTHCARE LLC
NPI: 1134740152
· GOLD BEACH, OR 97444
· Family Nurse Practitioner
· NPI assigned 04/30/2020
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | DICKERSON, SARA (FAMILY NURSE PRACTITIONER) |
| NPI Enumeration Date | 04/30/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
213 |
$13K |
| 2022 |
538 |
$32K |
| 2023 |
527 |
$43K |
| 2024 |
418 |
$32K |
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 |
837 |
681 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
833 |
689 |
$53K |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$33.60 |