CAPITAL REGION MEDICAL CENTER
NPI: 1487631776
· VERSAILLES, MO 65084
· Family Medicine Physician
· NPI assigned 12/28/2005
$560.64
Total Medicaid Paid
Provider Details
| Authorized Official | LUEBBERING, TOM (VP OF FINANCE) |
| NPI Enumeration Date | 12/28/2005 |
Related Entities
Other providers sharing the same authorized official: LUEBBERING, TOM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$560.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$560.64 |