DEGARA GARDEN CITY APP, PLLC

NPI: 1548704257 · GARDEN CITY, MI 48135 · Hospitalist Physician · NPI assigned 12/14/2016

$336K

Total Medicaid Paid

6,112

Total Claims

5,627

Beneficiaries

Codes Billed

2018-01

First Month

2018-04

Last Month

Provider Details

Authorized Official	SOMERBY, CHARLES (VICE PRESIDENT)
NPI Enumeration Date	12/14/2016

Other providers sharing the same authorized official: SOMERBY, CHARLES

Provider	City	State	Total Paid
DEGARA APP HM, PLLC	LANSING	MI	$3.23M
APP OF ARKANSAS ED PLLC	HELENA	AR	$747K
APP OF SOUTH CAROLINA HM PLLC	HARTSVILLE	SC	$362K
APP OF OHIO HM PLLC	LA PORTE	IN	$5K

Year	Claims	Total Paid
2018	6,112	$336K

Code	Description	Claims	Beneficiaries	Total Paid
99284	Emergency department visit for the evaluation and management, high severity	2,784	2,555	$149K
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	1,181	1,086	$88K
99283	Emergency department visit for the evaluation and management, moderate severity	1,710	1,583	$72K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	191	180	$22K
99282	Emergency department visit for the evaluation and management, low to moderate severity	89	86	$3K
12001		27	27	$679.32
12011		13	13	$406.90
99053		117	97	$0.00