SOUTH ATLANTIC MEDICAL GROUP, INC
NPI: 1710160627
· LOS ANGELES, CA 90022
· General Practice Physician
· NPI assigned 12/13/2007
Provider Details
| Authorized Official | KAHEN, NISSAN (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 12/13/2007 |
Related Entities
Other providers sharing the same authorized official: KAHEN, NISSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
343 |
$4K |
| 2019 |
428 |
$0.00 |
| 2020 |
125 |
$0.00 |
| 2021 |
18 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
613 |
529 |
$3K |
| 99401 |
|
30 |
28 |
$572.10 |
| 81025 |
|
29 |
29 |
$81.20 |
| 3008F |
|
74 |
63 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 4245F |
|
12 |
12 |
$0.00 |
| 99441 |
|
49 |
38 |
$0.00 |
| 3074F |
|
26 |
24 |
$0.00 |
| 3078F |
|
28 |
26 |
$0.00 |
| 99442 |
|
41 |
28 |
$0.00 |