NPI: 1326693953 · KINGSTREE, SC 29556 · Family Medicine Physician · NPI assigned 08/09/2019
Authorized official ERVIN, SAMUEL controls 20+ related entities in our dataset. Read more
| Authorized Official | ERVIN, SAMUEL (SR VICE PRESIDENT AND CFO) |
| NPI Enumeration Date | 08/09/2019 |
Other providers sharing the same authorized official: ERVIN, SAMUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,588 | $75K |
| 2020 | 2,083 | $126K |
| 2021 | 1,195 | $84K |
| 2022 | 1,269 | $76K |
| 2023 | 917 | $46K |
| 2024 | 665 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 4,958 | 2,963 | $306K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,415 | 1,298 | $68K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 818 | 759 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 30 | 30 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 17 | 16 | $828.67 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 58 | 29 | $582.40 |
| 81002 | 208 | 191 | $467.61 | |
| 85013 | 54 | 53 | $248.43 | |
| 90686 | 16 | 15 | $241.38 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $154.01 |
| 36415 | Collection of venous blood by venipuncture | 76 | 73 | $137.38 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 16 | 15 | $45.51 |
| 83036 | Hemoglobin; glycosylated (A1C) | 26 | 26 | $40.89 |
| 82947 | 13 | 13 | $8.24 |