SSM ST. CHARLES CLINIC MEDICAL GROUP, INC.
NPI: 1578670949
· WARRENTON, MO 63383
· Family Medicine Physician
· NPI assigned 08/23/2006
$515.96
Total Medicaid Paid
Provider Details
| Authorized Official | PULLUM, LAURA (BILLING MANAGER) |
| NPI Enumeration Date | 08/23/2006 |
Related Entities
Other providers sharing the same authorized official: PULLUM, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$515.96 |
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 |
30 |
29 |
$515.96 |