RIDGE ROAD MEDICAL CENTER PA
NPI: 1366488512
· ROCKWALL, TX 75087
· Family Medicine Physician
· NPI assigned 06/22/2006
$147.95
Total Medicaid Paid
Provider Details
| Authorized Official | MCKENNEY, CARL (PRESIDENT) |
| NPI Enumeration Date | 06/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$147.95 |
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 |
15 |
12 |
$147.95 |