OWEN DRIVE SURGICAL CLINIC OF FAYETTEVILLE PLLC
NPI: 1598841868
· FAYETTEVILLE, NC 28304
· Surgery Physician
· NPI assigned 10/31/2006
$134K
Total Medicaid Paid
1,877
Beneficiary Records
Provider Details
| Authorized Official | PERE, BUNNY (OFFICE MANAGER) |
| NPI Enumeration Date | 10/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
578 |
$40K |
| 2019 |
427 |
$27K |
| 2020 |
357 |
$18K |
| 2021 |
429 |
$15K |
| 2022 |
379 |
$19K |
| 2023 |
178 |
$8K |
| 2024 |
123 |
$8K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,168 |
1,608 |
$108K |
| 99205 |
Prolong outpt/office vis |
135 |
125 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
90 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
54 |
$3K |