LEGACY INTERNAL MEDICINE, PLLC
NPI: 1134768179
· FRISCO, TX 75033
· Internal Medicine Physician
· NPI assigned 12/21/2019
$489.69
Total Medicaid Paid
Provider Details
| Authorized Official | MANSOOR, UROOJ (OWNER) |
| NPI Enumeration Date | 12/21/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
12 |
$489.69 |
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 |
12 |
12 |
$489.69 |