MOAB LLC
NPI: 1306343561
· SULPHUR, LA 70663
· Family Medicine Physician
· NPI assigned 04/12/2018
$485.53
Total Medicaid Paid
Provider Details
| Authorized Official | VITA, BRIDGET (ADMINISTRATOR) |
| Parent Organization | KEVIN T. SCHLAMP, MD, LLC |
| NPI Enumeration Date | 04/12/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
139 |
$180.27 |
| 2020 |
49 |
$27.39 |
| 2021 |
212 |
$277.87 |
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 |
248 |
127 |
$277.87 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
74 |
44 |
$125.49 |
| 99307 |
|
78 |
60 |
$82.17 |