SALEM FAMILY CLINIC
NPI: 1376519454
· SALEM, AR 72576
· General Practice Physician
· NPI assigned 02/27/2006
$855.56
Total Medicaid Paid
Provider Details
| Authorized Official | MOODY, MICHAEL (MEDICAL DOCTOR) |
| NPI Enumeration Date | 02/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
430 |
$368.14 |
| 2019 |
422 |
$487.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
218 |
199 |
$518.15 |
| 80053 |
Comprehensive metabolic panel |
100 |
94 |
$268.89 |
| 36415 |
Collection of venous blood by venipuncture |
534 |
474 |
$68.52 |