NPI: 1558663690 · NIPOMO, CA 93444 · Podiatrist · NPI assigned 11/22/2010
| Authorized Official | CLARK, STEVEN (OWNER) |
| NPI Enumeration Date | 11/22/2010 |
Other providers sharing the same authorized official: CLARK, STEVEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | CHEHALIS | WA | $25.30M |
| EDM TREATMENT CENTER | SAGINAW | MI | $462K |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | OLYMPIA | WA | $135K |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | RAYMOND | WA | $77K |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | CENTRALIA | WA | $59K |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | TENINO | WA | $56K |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | TOLEDO | WA | $55K |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | CENTRALIA | WA | $13K |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | ONALASKA | WA | $7K |
| LEWIS COUNTY COMMUNITY HEALTH SERVICES | WINLOCK | WA | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $296.77 |
| 2020 | 109 | $4K |
| 2021 | 104 | $3K |
| 2022 | 428 | $24K |
| 2023 | 356 | $13K |
| 2024 | 234 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 357 | 165 | $30K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 831 | 732 | $26K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29 | 28 | $2K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16 | 15 | $90.52 |