FUNCTIONAL PHARMD CONSULTING
NPI: 1639855182
· RIVERSIDE, MO 64150
· Health Service Clinic/Center
· NPI assigned 06/27/2023
$526.36
Total Medicaid Paid
Provider Details
| Authorized Official | ROSS, JOSIE (OWNER/AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 06/27/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
71 |
$526.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$281.10 |
| 90480 |
|
17 |
17 |
$166.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$79.26 |
| 91322 |
|
17 |
17 |
$0.00 |