MON-VALE PRIMARY CARE PRACTICES INC
NPI: 1669715843
· ROSTRAVER TOWNSHIP, PA 15012
· Internal Medicine Physician
· NPI assigned 04/05/2013
Provider Details
| Authorized Official | SIMMONS, DANIEL (SECRETATY/TREASURER) |
| NPI Enumeration Date | 04/05/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
92 |
$48.39 |
| 2021 |
734 |
$7K |
| 2022 |
129 |
$3K |
| 2023 |
83 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
529 |
509 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
69 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
51 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$215.10 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$15.45 |
| 3008F |
|
276 |
263 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
56 |
56 |
$0.00 |