SOUTHSIDE DIABETES
NPI: 1417616202
· FRANKLIN, VA 23851
· Medical Specialty Clinic/Center
· NPI assigned 12/09/2021
Provider Details
| Authorized Official | STALLINGS, DANA (OWNER/CEO) |
| NPI Enumeration Date | 12/09/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
238 |
$493.93 |
| 2023 |
2,058 |
$15K |
| 2024 |
1,882 |
$30K |
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 |
791 |
515 |
$28K |
| 99215 |
Prolong outpt/office vis |
123 |
89 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,044 |
664 |
$4K |
| 95251 |
|
259 |
174 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$737.64 |
| 82947 |
|
778 |
484 |
$705.19 |
| 36416 |
|
1,169 |
734 |
$45.11 |