BLUE WATER INTERNAL MEDICINE, PC
NPI: 1255967667
· PORT HURON, MI 48060
· Internal Medicine Physician
· NPI assigned 03/17/2020
Provider Details
| Authorized Official | HACK, NIKKI (PRACTICE MANAGER) |
| NPI Enumeration Date | 03/17/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
16 |
$807.20 |
| 2021 |
26 |
$2K |
| 2022 |
135 |
$11K |
| 2023 |
1,061 |
$13K |
| 2024 |
1,574 |
$21K |
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 |
583 |
560 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 81002 |
|
42 |
41 |
$95.24 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$27.28 |
| 3074F |
|
576 |
552 |
$1.82 |
| 3078F |
|
554 |
531 |
$1.70 |
| 3008F |
|
582 |
558 |
$0.17 |
| 1034F |
|
12 |
12 |
$0.05 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
12 |
$0.00 |
| 1036F |
|
424 |
411 |
$0.00 |