SUMMIT MEMORIAL MEDICAL GROUP LLC
NPI: 1598469462
· CASPER, WY 82609
· General Practice Physician
· NPI assigned 03/27/2023
Provider Details
| Authorized Official | CUSSINS, JAMES (CFO) |
| NPI Enumeration Date | 03/27/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
102 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
82 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$657.20 |