CLARK FAMILY PRACTICE LLC
NPI: 1528799186
· BYESVILLE, OH 43723
· Nurse Practitioner
· NPI assigned 06/23/2022
$177K
Total Medicaid Paid
Provider Details
| Authorized Official | CLARK, ELISHA (OWENER) |
| NPI Enumeration Date | 06/23/2022 |
Related Entities
Other providers sharing the same authorized official: CLARK, ELISHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
37 |
$1K |
| 2023 |
2,380 |
$84K |
| 2024 |
2,325 |
$91K |
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 |
3,765 |
3,133 |
$143K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
408 |
354 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
100 |
71 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
417 |
372 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
19 |
$1K |
| 99442 |
|
30 |
23 |
$568.60 |