CHITTENANGO MEDICAL & WELLNESS ASSOC PC
NPI: 1518016997
· CHITTENANGO, NY 13037
· Adult Medicine Physician
· NPI assigned 01/09/2007
$203K
Total Medicaid Paid
Provider Details
| Authorized Official | TRESOHLAVY, BRIANNE (OFFICE MANAGER/BILLING MANAGER) |
| NPI Enumeration Date | 01/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,486 |
$203K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,457 |
1,315 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
669 |
611 |
$46K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$3K |
| 93000 |
|
101 |
101 |
$2K |
| 81002 |
|
207 |
207 |
$402.00 |