MIDWEST MEDICAL PRACTITIONERS LLC
NPI: 1174260111
· DESOTO, MO 63020
· Rural Health Clinic/Center
· NPI assigned 05/19/2022
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | JABBAR, DANISH (OWNER) |
| NPI Enumeration Date | 05/19/2022 |
Related Entities
Other providers sharing the same authorized official: JABBAR, DANISH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,185 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
885 |
416 |
$90K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,076 |
594 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
190 |
132 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
15 |
$743.38 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |