BUFFALO LAKE MEDICAL, PLLC
NPI: 1699178897
· CAMERON, NC 28326
· Physician Assistant
· NPI assigned 10/01/2014
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLDEN, RONNITA (OWNER OF GROUP) |
| NPI Enumeration Date | 10/01/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
455 |
$12K |
| 2020 |
168 |
$6K |
| 2021 |
6,798 |
$54K |
| 2022 |
13,513 |
$75K |
| 2023 |
1,465 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
21,323 |
14,115 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
690 |
380 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
172 |
$11K |
| 99401 |
|
42 |
22 |
$397.81 |