COSTNER CARE FAMILY CLINIC, LLC
NPI: 1689264558
· PLAINS, MT 59859
· Family Nurse Practitioner
· NPI assigned 01/24/2021
$188K
Total Medicaid Paid
Provider Details
| Authorized Official | COSTNER, DAVID (OWNER) |
| NPI Enumeration Date | 01/24/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
249 |
$22K |
| 2022 |
636 |
$64K |
| 2023 |
736 |
$65K |
| 2024 |
302 |
$38K |
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 |
1,630 |
1,192 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
281 |
190 |
$20K |
| 85018 |
|
12 |
12 |
$21.33 |