SOUTHSIDE MEDICAL CARE LLC
NPI: 1437698552
· SALISBURY, MD 21804
· Internal Medicine Physician
· NPI assigned 02/22/2017
$130K
Total Medicaid Paid
Provider Details
| Authorized Official | JAFFERY, NASIMA (MEDICAL PROVIDER) |
| NPI Enumeration Date | 02/22/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
439 |
$33K |
| 2020 |
683 |
$35K |
| 2021 |
632 |
$34K |
| 2022 |
507 |
$25K |
| 2023 |
75 |
$4K |
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 |
2,319 |
1,842 |
$130K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
17 |
16 |
$0.00 |