POLEY SPORTS MEDICINE, PLLC
NPI: 1255832382
· MACOMB, MI 48044
· Medical Specialty Clinic/Center
· NPI assigned 02/23/2018
$845.88
Total Medicaid Paid
Provider Details
| Authorized Official | POLEY, ROBERT (MANAGING MEMBER) |
| NPI Enumeration Date | 02/23/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14 |
$845.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$845.88 |