SHORELINE FAMILY MEDICINE PC
NPI: 1417094459
· MUSKEGON, MI 49441
· Family Medicine Physician
· NPI assigned 01/31/2007
$228K
Total Medicaid Paid
Provider Details
| Authorized Official | POWELL, MATTHEW (PHYSICIAN) |
| NPI Enumeration Date | 01/31/2007 |
Related Entities
Other providers sharing the same authorized official: POWELL, MATTHEW
| Provider | City | State | Total Paid |
|---|
| M POWELL LLC |
BAY ST LOUIS |
MS |
$70K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
473 |
$32K |
| 2019 |
440 |
$30K |
| 2020 |
408 |
$25K |
| 2021 |
532 |
$39K |
| 2022 |
543 |
$36K |
| 2023 |
743 |
$48K |
| 2024 |
408 |
$18K |
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 |
2,306 |
2,227 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
944 |
902 |
$51K |
| 90688 |
|
15 |
15 |
$230.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$178.88 |
| 3074F |
|
148 |
141 |
$0.00 |
| 3078F |
|
121 |
116 |
$0.00 |