STATESVILLE HMA MEDICAL GROUP, LLC
NPI: 1629352679
· STATESVILLE, NC 28625
· Orthopaedic Hand Surgery Physician
· NPI assigned 10/07/2011
$866.50
Total Medicaid Paid
Provider Details
| Authorized Official | JACKSON, JENNY (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Parent Organization | STATESVILLE HMA MEDICAL GROUP LLC |
| NPI Enumeration Date | 10/07/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
19 |
$866.50 |
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 |
19 |
18 |
$866.50 |