MAIN STREET MINOR MEDICAL LLC
NPI: 1700439734
· SHELBYVILLE, TN 37160
· Obesity Medicine (Family Medicine) Physician
· NPI assigned 07/18/2019
$764.09
Total Medicaid Paid
Provider Details
| Authorized Official | FORD, CRISTY (PRACTICE MANAGER) |
| NPI Enumeration Date | 07/18/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
23 |
$378.12 |
| 2023 |
13 |
$385.97 |
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 |
36 |
30 |
$764.09 |