THE BREAST PLACE LLC
NPI: 1629352398
· NORTH CHARLESTON, SC 29406
· Surgery Physician
· NPI assigned 09/29/2011
$127K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
357 |
$18K |
| 2019 |
193 |
$10K |
| 2020 |
246 |
$13K |
| 2021 |
459 |
$21K |
| 2022 |
413 |
$20K |
| 2023 |
476 |
$30K |
| 2024 |
259 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
979 |
920 |
$53K |
| 76642 |
|
1,048 |
879 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278 |
271 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
98 |
$10K |