DYNAMIC PRIMARY HEALTHCARE CLINIC
NPI: 1710633144
· LAKE CITY, FL 32024
· Family Medicine Physician
· NPI assigned 02/24/2022
Provider Details
| Authorized Official | DISTEFANO, JOHN (BUSINESS MANAGER) |
| NPI Enumeration Date | 02/24/2022 |
Related Entities
Other providers sharing the same authorized official: DISTEFANO, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
82 |
$301.20 |
| 2023 |
239 |
$192.01 |
| 2024 |
355 |
$2K |
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 |
185 |
97 |
$2K |
| 81001 |
|
99 |
65 |
$143.26 |
| 82947 |
|
60 |
40 |
$112.20 |
| 85018 |
|
60 |
39 |
$65.42 |
| 1111F |
|
50 |
21 |
$0.00 |
| 99000 |
|
35 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
40 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
21 |
$0.00 |
| 1159F |
|
34 |
23 |
$0.00 |
| 1160F |
|
34 |
23 |
$0.00 |