TRACY FAMILY PRACTICE CLINIC PA
NPI: 1659319150
· DE WITT, AR 72042
· Preferred Provider Organization
· NPI assigned 06/04/2006
Provider Details
| Authorized Official | TRACY, WALLACE (OWNER) |
| NPI Enumeration Date | 06/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
805 |
$22K |
| 2019 |
830 |
$23K |
| 2020 |
297 |
$9K |
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 |
1,873 |
1,571 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$398.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$167.31 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |