ANTELOPE VALLEY SUMMIT MEDICAL GROUP, INC
NPI: 1578852901
· PALMDALE, CA 93551
· Urgent Care Clinic/Center
· NPI assigned 04/06/2011
$9.30
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
163 |
$0.60 |
| 2019 |
70 |
$8.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
197 |
182 |
$9.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$0.00 |