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104TH AVENUE MEDICAL CLINIC INCORPORATED
104TH AVENUE MEDICAL CLINIC INCORPORATED
NPI: 1396921326
· KENT, WA 98030
· Clinic/Center
· NPI assigned 01/22/2008
Provider Details
| Authorized Official | CHOUDHARY, RANU (VICE-PRESIDENT) |
| NPI Enumeration Date | 01/22/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,006 |
$4K |
| 2019 |
626 |
$3K |
| 2020 |
204 |
$1K |
| 2021 |
90 |
$993.08 |
| 2022 |
78 |
$1K |
| 2023 |
30 |
$686.03 |
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 |
864 |
768 |
$11K |
| 90756 |
|
15 |
14 |
$68.37 |
| 90674 |
|
19 |
19 |
$24.05 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$12.11 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
429 |
380 |
$0.00 |
| 1123F |
|
402 |
356 |
$0.00 |
| 1036F |
|
177 |
158 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
97 |
86 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |