SHADY GROVE PODIATRY, LLC
NPI: 1518083443
· GAITHERSBURG, MD 20877
· Foot & Ankle Surgery Podiatrist
· NPI assigned 03/22/2007
$155K
Total Medicaid Paid
Provider Details
| Authorized Official | FOOTER, RONALD (MANAGING PARTNER) |
| NPI Enumeration Date | 03/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
599 |
$22K |
| 2019 |
541 |
$12K |
| 2020 |
605 |
$12K |
| 2021 |
736 |
$18K |
| 2022 |
1,276 |
$41K |
| 2023 |
1,255 |
$50K |
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 |
3,239 |
2,693 |
$111K |
| 11721 |
|
1,314 |
1,247 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
404 |
393 |
$17K |
| 73630 |
|
16 |
12 |
$229.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$155.36 |
| 11056 |
|
27 |
27 |
$0.00 |