YALOBUSHA MEDICAL CLINIC, LLC
NPI: 1295090009
· WATER VALLEY, MS 38965
· Primary Care Clinic/Center
· NPI assigned 07/08/2012
Provider Details
| Authorized Official | FOSTER, CINNAMON (SOLE MEMBER) |
| NPI Enumeration Date | 07/08/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
243 |
$6K |
| 2019 |
302 |
$10K |
| 2020 |
42 |
$642.59 |
| 2021 |
16 |
$820.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
349 |
278 |
$13K |
| 99382 |
|
39 |
35 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$694.12 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$625.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
16 |
$410.22 |
| 92551 |
|
19 |
13 |
$114.29 |
| 85018 |
|
51 |
43 |
$49.52 |
| 99173 |
|
18 |
12 |
$23.61 |
| 3008F |
|
23 |
16 |
$0.00 |
| 36416 |
|
23 |
20 |
$0.00 |