DIVINITY PEDIATRIC CLINIC, PLLC
NPI: 1629741152
· PEARL, MS 39208
· Primary Care Clinic/Center
· NPI assigned 07/29/2021
Provider Details
| Authorized Official | MCCOY, REKITA (CEO) |
| NPI Enumeration Date | 07/29/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
387 |
$7K |
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 |
229 |
162 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
68 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$80.46 |
| 99401 |
|
44 |
25 |
$0.00 |