CENTRAL MEDICAL CLINIC PLLC
NPI: 1174876643
· SAINT PAUL, MN 55104
· Pain Medicine Physician
· NPI assigned 10/22/2012
$212K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,610 |
$78K |
| 2019 |
4,554 |
$135K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,393 |
4,211 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
621 |
$38K |
| 80305 |
|
5,551 |
4,014 |
$26K |
| 96136 |
|
308 |
259 |
$8K |
| 96102 |
|
407 |
390 |
$6K |
| 99408 |
|
358 |
315 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
127 |
$3K |
| 96120 |
|
57 |
54 |
$933.67 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
63 |
57 |
$739.15 |
| 96101 |
|
42 |
42 |
$631.35 |
| 99409 |
|
137 |
126 |
$53.82 |