POPLAR BLUFF PEDIATRIC ASSOC LL
NPI: 1275676355
· POPLAR BLUFF, MO 63901
· General Practice Physician
· NPI assigned 02/15/2007
$1.33M
Total Medicaid Paid
Provider Details
| Authorized Official | MOSS, TIFFANY (OFFICE MANAGER) |
| NPI Enumeration Date | 02/15/2007 |
Related Entities
Other providers sharing the same authorized official: MOSS, TIFFANY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,574 |
$1.12M |
| 2019 |
2,731 |
$204K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,743 |
12,393 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,890 |
2,645 |
$200K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
264 |
247 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
228 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
81 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
79 |
$6K |