NORTH MAIN MEDICAL, LLC
NPI: 1679106306
· CROSSVILLE, TN 38555
· Family Medicine Physician
· NPI assigned 02/21/2020
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | EROH, TAMARA (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 02/21/2020 |
Related Entities
Other providers sharing the same authorized official: EROH, TAMARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,095 |
$33K |
| 2022 |
1,459 |
$39K |
| 2023 |
1,236 |
$30K |
| 2024 |
798 |
$19K |
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 |
2,556 |
1,879 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,189 |
881 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
325 |
256 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
218 |
159 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
33 |
29 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$742.98 |
| 36415 |
Collection of venous blood by venipuncture |
254 |
212 |
$367.40 |