HOMETOWN PROVIDER LLC
NPI: 1629697008
· CLIO, MI 48420
· Nurse Practitioner
· NPI assigned 04/15/2020
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | AARON, REBECCA (BUSINESS OWNER) |
| NPI Enumeration Date | 04/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
162 |
$11K |
| 2022 |
2,036 |
$74K |
| 2023 |
1,508 |
$37K |
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 |
1,059 |
971 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
160 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
245 |
233 |
$15K |
| 96127 |
|
315 |
305 |
$986.21 |
| 1159F |
|
957 |
867 |
$0.02 |
| 3078F |
|
142 |
133 |
$0.00 |
| 1160F |
|
20 |
20 |
$0.00 |
| 3074F |
|
231 |
216 |
$0.00 |
| 3008F |
|
447 |
421 |
$0.00 |
| 3079F |
|
117 |
113 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |