NPI: 1497437503
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 747 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 265 | 223 | $27K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 263 | 168 | $21K |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | 219 | 137 | $4K |