ETNACARE, LLC
NPI: 1235475682
· STERLING, VA 20165
· Internal Medicine Physician
· NPI assigned 12/12/2012
$699.70
Total Medicaid Paid
Provider Details
| Authorized Official | UJEVIC, NEVEN (OWNER) |
| NPI Enumeration Date | 12/12/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
264 |
$699.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
68 |
55 |
$378.99 |
| 99487 |
Ccm add 20min |
49 |
42 |
$273.97 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
37 |
26 |
$46.74 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
93 |
70 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |