MDSM GROUP INC
NPI: 1497293682
· SANTA MONICA, CA 90404
· General Practice Physician
· NPI assigned 02/07/2017
$44.60
Total Medicaid Paid
Provider Details
| Authorized Official | BOYER, DARREN (CEO) |
| NPI Enumeration Date | 02/07/2017 |
Related Entities
Other providers sharing the same authorized official: BOYER, DARREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
102 |
$44.60 |
| 2019 |
152 |
$0.00 |
| 2020 |
94 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
30 |
26 |
$22.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
140 |
$22.30 |
| 99401 |
|
82 |
69 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| 98962 |
|
38 |
30 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |