MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
NPI: 1497163216
· PENTWATER, MI 49449
· Primary Care Clinic/Center
· NPI assigned 07/24/2014
Provider Details
| Authorized Official | KELLEY, RANDALL (PRESIDENT) |
| Parent Organization | MEMORIAL MEDICAL CENTER OF WEST MICHIGA |
| NPI Enumeration Date | 07/24/2014 |
Related Entities
Other providers sharing the same authorized official: KELLEY, RANDALL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,421 |
$50K |
| 2019 |
1,128 |
$38K |
| 2020 |
246 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,571 |
1,425 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
618 |
583 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
474 |
$2K |
| 90686 |
|
60 |
60 |
$114.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$28.00 |