SOUTHWELLNESS MEDICAL LLC
NPI: 1366099533
· PARADISE VALLEY, AZ 85253
· Family Medicine Physician
· NPI assigned 08/22/2019
Provider Details
| Authorized Official | SOUTHWELL, TYLER (CEO) |
| NPI Enumeration Date | 08/22/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
136 |
$7K |
| 2022 |
17 |
$0.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
13 |
$6K |
| 99211 |
|
110 |
31 |
$1K |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
30 |
25 |
$0.22 |