PLASTIC SURGERY & WEIGHT LOSS CNTR
NPI: 1699961193
· HOLLISTER, MO 65672
· Medical Specialty Clinic/Center
· NPI assigned 09/18/2007
$304.54
Total Medicaid Paid
Provider Details
| Authorized Official | STEWART, MARIAN (OFFICER) |
| NPI Enumeration Date | 09/18/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$304.54 |
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 |
12 |
12 |
$304.54 |