NORTHSIDE MEDICAL PROFESSIONALS, P.C.
NPI: 1295044097
· COLUMBIA, TN 38401
· Pediatrics Physician
· NPI assigned 09/28/2010
$292.01
Total Medicaid Paid
Provider Details
| Authorized Official | GENTRY, SHAWN (COO) |
| NPI Enumeration Date | 09/28/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$0.00 |
| 2019 |
55 |
$67.64 |
| 2020 |
15 |
$71.80 |
| 2021 |
19 |
$152.57 |
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 |
116 |
91 |
$292.01 |