MICHIGAN STATE UNIVERSITY
NPI: 1699858431
· EAST LANSING, MI 48823
· Sports Medicine (Family Medicine) Physician
· NPI assigned 10/23/2006
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | RUCKER, LISA (ENROLLMENT & PATIENT ACCTS MANAGER) |
| NPI Enumeration Date | 10/23/2006 |
Related Entities
Other providers sharing the same authorized official: RUCKER, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
961 |
$41K |
| 2019 |
1,062 |
$47K |
| 2020 |
354 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
937 |
911 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,400 |
1,318 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$723.04 |
| 20610 |
|
24 |
13 |
$587.75 |