SC CLINICAL LLC
NPI: 1720732589
· FORT PIERRE, SD 57532
· Family Medicine Physician
· NPI assigned 02/09/2022
Provider Details
| Authorized Official | CLARAMBEAU, SHANE (OWNER/AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 02/09/2022 |
Related Entities
Other providers sharing the same authorized official: CLARAMBEAU, SHANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
170 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
40 |
$825.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$132.48 |
| 90686 |
|
54 |
35 |
$86.08 |
| G0008 |
Administration of influenza virus vaccine |
41 |
21 |
$0.00 |