NPI: 1477176824 · CORINTH, MS 38834 · Primary Care Clinic/Center · NPI assigned 05/20/2020
| Authorized Official | WILSON, CRYSTAL (OWNER) |
| NPI Enumeration Date | 05/20/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 88 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32 | 14 | $998.22 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34 | 15 | $851.37 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 22 | 15 | $540.00 |