NPI: 1184009086 · BRANDON, MS 39047 · Podiatrist · NPI assigned 07/21/2015
| Authorized Official | CRUEL, LARRY (OWNER / PRESIDENT) |
| Parent Organization | RIVER HEALTH CARE, LLC |
| NPI Enumeration Date | 07/21/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,252 | $131K |
| 2019 | 644 | $139K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 28262 | 108 | 93 | $108K | |
| 28124 | 254 | 170 | $55K | |
| 10061 | 514 | 487 | $49K | |
| 99307 | 1,123 | 1,110 | $14K | |
| 11056 | 1,573 | 1,549 | $12K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 727 | 724 | $11K |
| 11721 | 2,084 | 2,062 | $10K | |
| 14040 | 19 | 16 | $8K | |
| 10060 | 26 | 26 | $2K | |
| 11057 | 455 | 455 | $2K | |
| 11720 | 13 | 13 | $75.84 |