DELTA HEALTH SYSTEM
NPI: 1609464619
· CLARKSDALE, MS 38614
· Certified Registered Nurse Anesthetist
· NPI assigned 01/05/2021
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | STACKER, IRIS (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | DELTA HEALTH-THE MEDICAL CENTER |
| NPI Enumeration Date | 01/05/2021 |
Related Entities
Other providers sharing the same authorized official: STACKER, IRIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
163 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99442 |
|
14 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
63 |
$0.00 |
| 90961 |
|
36 |
36 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
36 |
$0.00 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
12 |
12 |
$0.00 |