ST CLARE MEDICAL SERVICES INC
NPI: 1548579022
· LAS VEGAS, NV 89102
· Health Maintenance Organization
· NPI assigned 09/30/2010
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAN, KIMBERLY (BILLING COORDINATOR) |
| NPI Enumeration Date | 09/30/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
862 |
$21K |
| 2019 |
797 |
$21K |
| 2020 |
417 |
$15K |
| 2021 |
442 |
$20K |
| 2022 |
440 |
$16K |
| 2023 |
301 |
$11K |
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 |
2,044 |
1,499 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,203 |
924 |
$31K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |