FORMULA MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
NPI: 1710905690
· APPLE VALLEY, CA 92307
· Family Medicine Physician
· NPI assigned 07/18/2006
$423.22
Total Medicaid Paid
Provider Details
| Authorized Official | KRIDER, JAMES (DOCTOR) |
| NPI Enumeration Date | 07/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
407 |
$71.28 |
| 2019 |
542 |
$95.04 |
| 2020 |
179 |
$84.65 |
| 2021 |
229 |
$23.76 |
| 2022 |
147 |
$111.37 |
| 2023 |
70 |
$0.00 |
| 2024 |
95 |
$37.12 |
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 |
1,077 |
1,005 |
$237.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
566 |
550 |
$185.62 |
| 99201 |
|
26 |
26 |
$0.00 |