GRAYSON PRIMARY CARE LLC
NPI: 1417903451
· GRAYSON, GA 30017
· Family Medicine Physician
· NPI assigned 05/25/2006
$318.54
Total Medicaid Paid
Provider Details
| Authorized Official | PICKETT, MARK (VP) |
| NPI Enumeration Date | 05/25/2006 |
Related Entities
Other providers sharing the same authorized official: PICKETT, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$318.54 |
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 |
13 |
13 |
$318.54 |