MIND AND BODY RESTORED
NPI: 1295420651
· COEUR D ALENE, ID 83815
· Addiction Medicine (Family Medicine) Physician
· NPI assigned 04/10/2023
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | QUALL, JANA (NP) |
| NPI Enumeration Date | 04/10/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,830 |
$101K |
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 |
1,788 |
1,730 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
42 |
$3K |