SOUTH MOUNTAIN FAMILY PRACTICE LLC
NPI: 1487844593
· BOONSBORO, MD 21713
· Clinic/Center
· NPI assigned 07/26/2007
Provider Details
| Authorized Official | BODENHEIMER, WILLIAM (OWNER) |
| NPI Enumeration Date | 07/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
737 |
$47K |
| 2023 |
12 |
$471.04 |
| 2024 |
240 |
$23K |
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 |
545 |
393 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
299 |
$33K |
| 90686 |
|
20 |
20 |
$410.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$232.35 |