DALEWOOD MEDICAL ENT
NPI: 1174549265
· DALE CITY, VA 22193
· Legal Medicine
· NPI assigned 07/14/2006
$245K
Total Medicaid Paid
Provider Details
| Authorized Official | KULAK, JENNIFER (OFFICE MANAGER) |
| NPI Enumeration Date | 07/14/2006 |
Related Entities
Other providers sharing the same authorized official: KULAK, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
435 |
$27K |
| 2019 |
215 |
$8K |
| 2020 |
678 |
$33K |
| 2021 |
1,224 |
$47K |
| 2022 |
1,178 |
$49K |
| 2023 |
1,097 |
$38K |
| 2024 |
725 |
$42K |
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 |
2,486 |
1,900 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,797 |
1,411 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
228 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
43 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
774 |
650 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
15 |
$632.23 |
| 86328 |
|
13 |
13 |
$542.76 |
| 81002 |
|
75 |
63 |
$136.40 |
| 99001 |
|
52 |
37 |
$7.36 |