GRAPEVINE CLINIC LLC
NPI: 1164731030
· FORT MOHAVE, AZ 86426
· Family Medicine Physician
· NPI assigned 09/27/2010
Provider Details
| Authorized Official | CUNNINGHAM, KAYE (OWNER/MEMBER) |
| NPI Enumeration Date | 09/27/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
83 |
$5K |
| 2021 |
53 |
$3K |
| 2022 |
14 |
$1K |
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 |
150 |
136 |
$9K |