MOUNTAIN INTERNAL MEDICINE, PLLC
NPI: 1689312449
· MISSOULA, MT 59802
· Internal Medicine Physician
· NPI assigned 05/23/2022
Provider Details
| Authorized Official | FAABORG, SARAH (PARTNER) |
| NPI Enumeration Date | 05/23/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
32 |
$2K |
| 2023 |
454 |
$38K |
| 2024 |
596 |
$41K |
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 |
716 |
640 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
157 |
$12K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
152 |
142 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
42 |
40 |
$288.53 |