CHARLIE INTERNAL MEDICINE GROUP INCORPORATED
NPI: 1649837519
· LAFAYETTE, LA 70503
· Internal Medicine Physician
· NPI assigned 05/24/2019
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | CHARLIE, EMILY (PRESIDENT) |
| NPI Enumeration Date | 05/24/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
996 |
$14K |
| 2021 |
854 |
$28K |
| 2022 |
749 |
$33K |
| 2023 |
803 |
$28K |
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 |
2,784 |
1,497 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
498 |
273 |
$22K |
| 90756 |
|
69 |
28 |
$590.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
15 |
$205.80 |
| G0008 |
Administration of influenza virus vaccine |
30 |
12 |
$0.00 |