WELLNESS BOUTIQUE LLC
NPI: 1497002901
· HARTSVILLE, SC 29550
· Obstetrics & Gynecology Physician
· NPI assigned 08/14/2012
$271K
Total Medicaid Paid
Provider Details
| Authorized Official | QUAYE, MCHELLE (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 08/14/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,162 |
$49K |
| 2019 |
1,144 |
$51K |
| 2020 |
824 |
$37K |
| 2021 |
872 |
$61K |
| 2022 |
735 |
$44K |
| 2023 |
442 |
$29K |
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 |
3,515 |
2,303 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
207 |
$22K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
12 |
$14K |
| 99408 |
|
175 |
167 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,193 |
976 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 81002 |
|
13 |
12 |
$40.56 |