OLDE TOWNE PRIMARY CARE LLC
NPI: 1417315813
· GAITHERSBURG, MD 20877
· Primary Care Clinic/Center
· NPI assigned 02/01/2016
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | SALEEM, RASHA (MANAGING OWNER) |
| NPI Enumeration Date | 02/01/2016 |
Related Entities
Other providers sharing the same authorized official: SALEEM, RASHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
570 |
$47K |
| 2021 |
64 |
$7K |
| 2022 |
620 |
$46K |
| 2023 |
64 |
$5K |
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 |
1,079 |
637 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$1K |
| 90686 |
|
12 |
12 |
$228.48 |
| 99051 |
|
21 |
17 |
$208.52 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
40 |
$105.16 |
| 99000 |
|
68 |
55 |
$0.00 |
| 99072 |
|
78 |
52 |
$0.00 |