CONCIERGE MEDICINE OF WICHITA LLC
NPI: 1326399205
· WICHITA, KS 67206
· Internal Medicine Physician
· NPI assigned 10/02/2012
Provider Details
| Authorized Official | GADALLA, ALY (OWNER) |
| NPI Enumeration Date | 10/02/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
803 |
$2K |
| 2019 |
342 |
$510.70 |
| 2020 |
503 |
$24.67 |
| 2021 |
343 |
$280.83 |
| 2022 |
89 |
$0.00 |
| 2023 |
251 |
$235.43 |
| 2024 |
160 |
$752.45 |
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 |
1,297 |
1,107 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
989 |
756 |
$1K |
| 99497 |
|
44 |
38 |
$180.00 |
| 80305 |
|
54 |
34 |
$91.92 |
| 72100 |
|
13 |
12 |
$23.36 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
75 |
74 |
$19.15 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
19 |
$0.00 |