SOUTHSIDE MEDICAL MANAGEMENT INC
NPI: 1689090839
· KENBRIDGE, VA 23944
· Adult Health Nurse Practitioner
· NPI assigned 03/12/2014
Provider Details
| Authorized Official | POWERS, GRAHAM (PARTNER) |
| Parent Organization | SOUTHSIDE MEDICAL MANAGEMENT INC |
| NPI Enumeration Date | 03/12/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
197 |
$6K |
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 |
73 |
68 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
18 |
$2K |
| 90686 |
|
48 |
48 |
$583.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
56 |
$149.31 |