WHITWELL MEDICAL PLAZA
NPI: 1225409147
· WHITWELL, TN 37397
· Primary Care Clinic/Center
· NPI assigned 10/19/2015
Deactivated NPI
· This NPI was deactivated on 04/18/2016. Reactivated 10/05/2017.
$129K
Total Medicaid Paid
Provider Details
| Authorized Official | PARK, JUNG (MD-OWNER) |
| NPI Enumeration Date | 10/19/2015 |
Related Entities
Other providers sharing the same authorized official: PARK, JUNG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
102 |
$4K |
| 2021 |
3,750 |
$47K |
| 2022 |
1,570 |
$42K |
| 2023 |
3,335 |
$34K |
| 2024 |
130 |
$1K |
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 |
1,963 |
1,460 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,777 |
1,352 |
$49K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
400 |
328 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
401 |
339 |
$3K |
| 99422 |
|
99 |
70 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$770.15 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
35 |
18 |
$304.98 |
| 99318 |
|
19 |
18 |
$110.82 |
| 3078F |
|
285 |
215 |
$80.01 |
| 3079F |
|
216 |
150 |
$40.00 |
| 3074F |
|
333 |
234 |
$30.01 |
| 1160F |
|
645 |
444 |
$20.00 |
| 3075F |
|
32 |
28 |
$20.00 |
| 3077F |
|
17 |
12 |
$10.00 |
| 0513F |
|
154 |
100 |
$0.01 |
| 3008F |
|
687 |
485 |
$0.01 |
| 3011F |
|
125 |
90 |
$0.01 |
| 1125F |
|
291 |
199 |
$0.01 |
| 4010F |
|
68 |
42 |
$0.01 |
| 1159F |
|
629 |
425 |
$0.00 |
| 0521F |
|
509 |
356 |
$0.00 |
| 1158F |
|
21 |
12 |
$0.00 |
| 3044F |
|
124 |
78 |
$0.00 |
| 3048F |
|
26 |
17 |
$0.00 |