PACE MEDICAL CLINIC, LLC
NPI: 1679615306
· RICHTON, MS 39476
· Family Medicine Physician
· NPI assigned 02/12/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PACE, JAMES (MANAGER) |
| NPI Enumeration Date | 02/12/2007 |
Related Entities
Other providers sharing the same authorized official: PACE, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
523 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
299 |
202 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
99 |
57 |
$0.00 |
| 96372 |
|
105 |
61 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
20 |
16 |
$0.00 |