WOLF RIVER FAMILY FOOTCARE PLLC
NPI: 1457480683
· BARTLETT, TN 38133
· Foot & Ankle Surgery Podiatrist
· NPI assigned 03/05/2007
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | SICILIANO, CARL (OWNER SOLE MEMBER) |
| NPI Enumeration Date | 03/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
713 |
$24K |
| 2019 |
647 |
$21K |
| 2020 |
887 |
$19K |
| 2021 |
1,072 |
$19K |
| 2022 |
877 |
$20K |
| 2023 |
526 |
$14K |
| 2024 |
315 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,615 |
1,388 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,158 |
1,813 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
43 |
$4K |
| 73630 |
|
30 |
14 |
$268.16 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
404 |
354 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |
| 1036F |
|
724 |
635 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
49 |
44 |
$0.00 |