CAMAL LLC

NPI: 1700183654 · DAYTON, OH 45417 · Adult Medicine Physician · NPI assigned 02/11/2011

$324K

Total Medicaid Paid

5,479

Total Claims

5,198

Beneficiaries

Codes Billed

2018-01

First Month

2019-04

Last Month

Provider Details

Authorized Official	BROWN, MORRIS (OWNER)
NPI Enumeration Date	02/11/2011

Other providers sharing the same authorized official: BROWN, MORRIS

Provider	City	State	Total Paid
LAKE CITY FAMILY MEDICINE LLC	LAKE CITY	SC	$1.57M
LAKE CITY FAMILY MEDICINE, LLC	KINGSTREE	SC	$390K
LAKE CITY FAMILY MEDICINE LLC	LAKE CITY	SC	$106K

Year	Claims	Total Paid
2018	4,749	$280K
2019	730	$44K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3,430	3,297	$218K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1,461	1,409	$88K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	246	200	$16K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	32	31	$1K
99201		14	12	$757.41
86580		257	210	$271.78
81002		39	39	$2.42