MICHIGAN STATE UNIVERSITY
NPI: 1639253784
· EAST LANSING, MI 48824
· Registered Nurse
· NPI assigned 10/25/2006
$239K
Total Medicaid Paid
Provider Details
| Authorized Official | RUCKER, LISA (ENROLLMENT & PATIENT ACCTS MANAGER) |
| NPI Enumeration Date | 10/25/2006 |
Related Entities
Other providers sharing the same authorized official: RUCKER, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,431 |
$92K |
| 2019 |
2,688 |
$96K |
| 2020 |
1,319 |
$50K |
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 |
3,441 |
3,263 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,213 |
2,077 |
$74K |
| 90686 |
|
155 |
148 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
226 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
225 |
217 |
$1K |
| 96127 |
|
52 |
27 |
$140.02 |
| 82962 |
|
74 |
72 |
$70.46 |
| 87210 |
|
14 |
14 |
$28.89 |
| G0008 |
Administration of influenza virus vaccine |
32 |
30 |
$0.00 |