JEFFERSON SURGICAL CLINIC INC
NPI: 1447286810
· ROANOKE, VA 24016
· Specialist
· NPI assigned 06/25/2006
$154K
Total Medicaid Paid
Provider Details
| Authorized Official | BOWEN, SHANNON (BILLING MANAGER) |
| NPI Enumeration Date | 06/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
458 |
$5K |
| 2019 |
1,523 |
$29K |
| 2020 |
1,121 |
$30K |
| 2021 |
1,748 |
$44K |
| 2022 |
1,665 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,687 |
2,188 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,421 |
1,208 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
139 |
$8K |
| 81000 |
|
1,825 |
1,526 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
45 |
$3K |
| 95117 |
|
310 |
110 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 93926 |
|
14 |
14 |
$888.73 |
| 92567 |
|
13 |
12 |
$166.26 |
| 51798 |
|
13 |
12 |
$70.13 |