BALANCE FAMILY PRACTICE & MEDICAL SPA LLC
NPI: 1255829149
· PAWHUSKA, OK 74056
· Family Medicine Physician
· NPI assigned 04/25/2018
$172K
Total Medicaid Paid
Provider Details
| Authorized Official | VIRDEN, SCARLETT (OWNER OPERATOR) |
| NPI Enumeration Date | 04/25/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
245 |
$16K |
| 2019 |
1,575 |
$90K |
| 2020 |
876 |
$56K |
| 2021 |
172 |
$9K |
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 |
1,697 |
1,555 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
674 |
620 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$5K |
| 99406 |
|
379 |
353 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$905.76 |
| 96127 |
|
29 |
29 |
$115.05 |