Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH CHARLESTON PRIMARY CARE ASSOCIATES

NPI: 1457449761 · SOUTH CHARLESTON, WV 25303 · Family Medicine Physician · NPI assigned 10/11/2006

$620.10
Total Medicaid Paid
15
Total Claims
14
Beneficiaries
1
Codes Billed
2018-04
First Month
2018-04
Last Month

Provider Details

Authorized OfficialKING, TAMMY (OFFICE MANAGER)
NPI Enumeration Date10/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $620.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $620.10