NPI: 1700010964 · SEGUIN, TX 78155 · Family Medicine Physician · NPI assigned 05/04/2009
| Authorized Official | RIDER, DAVID (PRESIDENT) |
| NPI Enumeration Date | 05/04/2009 |
Other providers sharing the same authorized official: RIDER, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM | UNIONTOWN | PA | $12.06M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $391.30 |
| 2021 | 112 | $3K |
| 2022 | 294 | $9K |
| 2023 | 299 | $9K |
| 2024 | 46 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 739 | 661 | $23K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25 | 24 | $847.84 |