SOUTH GIBSON MEDICAL CLINIC INC.
NPI: 1659538841
· FORT BRANCH, IN 47648
· Family Medicine Physician
· NPI assigned 05/16/2008
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | EMERSON, QUINTEN (PROVIDER/OWNER) |
| NPI Enumeration Date | 05/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
47 |
$0.00 |
| 2019 |
16 |
$0.00 |
| 2020 |
305 |
$15K |
| 2021 |
436 |
$30K |
| 2022 |
298 |
$16K |
| 2023 |
298 |
$21K |
| 2024 |
328 |
$22K |
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 |
1,363 |
1,043 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
353 |
285 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.09 |