BOONSLICK MEDICAL GROUP INC
NPI: 1588662803
· SAINT PETERS, MO 63376
· Obstetrics & Gynecology Physician
· NPI assigned 07/11/2005
$359.32
Total Medicaid Paid
Provider Details
| Authorized Official | CUSWORTH, ROBERT (PRESIDENT, BOONSLICK MED.GROUP INC) |
| NPI Enumeration Date | 07/11/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$359.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$359.32 |