SOUTH CHARLESTON PRIMARY CARE ASSOCIATES
NPI: 1457449761
· SOUTH CHARLESTON, WV 25303
· Family Medicine Physician
· NPI assigned 10/11/2006
$620.10
Total Medicaid Paid
Provider Details
| Authorized Official | KING, TAMMY (OFFICE MANAGER) |
| NPI Enumeration Date | 10/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
15 |
$620.10 |
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 |
15 |
14 |
$620.10 |