SOUTHEAST MISSOURI ANESTHESIA SERVICES, LLC
NPI: 1649618547
· CAPE GIRARDEAU, MO 63703
· Anesthesiology Physician
· NPI assigned 06/13/2013
Provider Details
| Authorized Official | FONN, SONJAY (OWNER/CEO) |
| NPI Enumeration Date | 06/13/2013 |
Related Entities
Other providers sharing the same authorized official: FONN, SONJAY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
904 |
$21K |
| 2019 |
28 |
$567.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 01992 |
|
369 |
273 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
69 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
33 |
$2K |
| 99156 |
|
64 |
46 |
$48.02 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
55 |
42 |
$2.88 |
| J3490 |
Unclassified drugs |
58 |
41 |
$0.00 |
| 80305 |
|
150 |
120 |
$0.00 |
| A4550 |
Surgical trays |
63 |
45 |
$0.00 |
| 99071 |
|
37 |
32 |
$0.00 |