CLARK, VIVIAN
NPI: 1205889508
· ELIZABETHTON, TN 37643
· Internal Medicine Physician
· NPI assigned 05/18/2006
$283.28
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
81 |
$283.28 |
| 2019 |
30 |
$0.00 |
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 |
47 |
43 |
$283.28 |
| G0008 |
Administration of influenza virus vaccine |
32 |
28 |
$0.00 |
| 90674 |
|
32 |
28 |
$0.00 |