AXIAL CLINIC IA PC
NPI: 1346014602
· DES MOINES, IA 50309
· Internal Medicine Physician
· NPI assigned 11/08/2023
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HEYWOOD, ALICE (CHEF LEGAL OFFICER) |
| Parent Organization | AXIAL CLINIC IA PC |
| NPI Enumeration Date | 11/08/2023 |
Related Entities
Other providers sharing the same authorized official: HEYWOOD, ALICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
500 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
98 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
24 |
24 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
345 |
232 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
33 |
33 |
$0.00 |