MODERN VASCULAR OF SOUTHAVEN, LLC
NPI: 1174171441
· SOUTHAVEN, MS 38671
· Vascular-Interventional Technology Radiologic Technologist
· NPI assigned 08/29/2019
Provider Details
| Authorized Official | GAMPEL, YURY (MANAGER) |
| NPI Enumeration Date | 08/29/2019 |
Related Entities
Other providers sharing the same authorized official: GAMPEL, YURY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
930 |
$40K |
| 2021 |
980 |
$32K |
| 2022 |
415 |
$14K |
| 2023 |
17 |
$307.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 37229 |
|
86 |
60 |
$52K |
| 37252 |
|
248 |
168 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
476 |
369 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
103 |
61 |
$4K |
| 37253 |
|
232 |
156 |
$3K |
| 75710 |
|
163 |
113 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
89 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
20 |
$1K |
| 37232 |
|
43 |
29 |
$737.09 |
| 76937 |
|
283 |
191 |
$491.22 |
| 75774 |
|
74 |
49 |
$387.01 |
| 99152 |
|
123 |
80 |
$96.33 |
| 99153 |
Mod sedat endo service >5yrs |
119 |
79 |
$73.57 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
239 |
165 |
$0.00 |