RADIANCE FAMILY CARE LLC
NPI: 1396344115
· LOUISBURG, KS 66053
· Primary Care Clinic/Center
· NPI assigned 10/22/2020
$481.70
Total Medicaid Paid
Provider Details
| Authorized Official | DOCMAN, KELLI (APRN) |
| NPI Enumeration Date | 10/22/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
16 |
$481.70 |
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 |
16 |
12 |
$481.70 |