MAIN STREET MEDICAL LLC
NPI: 1487079505
· TAMPA, FL 33612
· Adult Medicine Physician
· NPI assigned 02/26/2014
Provider Details
Related Entities
Other providers sharing the same authorized official: BANJOKO, STEPHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$40.00 |
| 2023 |
17 |
$53.43 |
| 2024 |
156 |
$1K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
21 |
$740.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$316.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
14 |
$53.43 |
| 0004A |
|
14 |
13 |
$40.00 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
19 |
$5.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 90715 |
|
26 |
15 |
$0.00 |
| 90746 |
|
16 |
14 |
$0.00 |