EXTENDED FAMILY MEDICAL CLINIC
NPI: 1720121395
· MOBILE, AL 36604
· Clinic/Center
· NPI assigned 02/14/2007
$316K
Total Medicaid Paid
Provider Details
| Authorized Official | BLACKMON, ANGELIA (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 02/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
461 |
$30K |
| 2019 |
471 |
$30K |
| 2020 |
539 |
$43K |
| 2021 |
608 |
$42K |
| 2022 |
681 |
$52K |
| 2023 |
749 |
$54K |
| 2024 |
928 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,081 |
3,416 |
$311K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
290 |
275 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$672.00 |
| 90688 |
|
12 |
12 |
$237.48 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
24 |
$41.60 |
| 81002 |
|
12 |
12 |
$36.00 |