DELMAR PRIMARY CARE ASSOCIATES LLC
NPI: 1326464298
· SAINT LOUIS, MO 63112
· Primary Care Clinic/Center
· NPI assigned 03/14/2014
$207K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIAMS, DANNIE (GENERAL PRACTITIONER/OWNER) |
| NPI Enumeration Date | 03/14/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
572 |
$17K |
| 2020 |
1,002 |
$37K |
| 2021 |
984 |
$40K |
| 2022 |
769 |
$49K |
| 2023 |
629 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,244 |
1,200 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,615 |
1,560 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
323 |
308 |
$15K |
| 99490 |
Ccm add 20min |
317 |
299 |
$4K |
| 99484 |
|
54 |
36 |
$328.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$171.73 |
| 36415 |
Collection of venous blood by venipuncture |
372 |
360 |
$55.50 |
| 90756 |
|
18 |
17 |
$0.00 |