MAIN STREET FAMILY MEDICINE PLLC
NPI: 1518636844
· ENTERPRISE, UT 84725
· Family Medicine Physician
· NPI assigned 09/09/2021
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | BRACKEN, COLTEN (MD/OWNER) |
| NPI Enumeration Date | 09/09/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
95 |
$4K |
| 2022 |
469 |
$33K |
| 2023 |
477 |
$38K |
| 2024 |
354 |
$28K |
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 |
1,042 |
883 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
189 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
104 |
$8K |