SOUTHEAST TEXAS INTERNAL MEDICINE, PA
NPI: 1730155995
· PORT ARTHUR, TX 77642
· Internal Medicine Physician
· NPI assigned 02/27/2006
Provider Details
| Authorized Official | GAMBRAH, ANTHONY (ATTENDING PHYSICIAN) |
| NPI Enumeration Date | 02/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
130 |
$2K |
| 2019 |
271 |
$2K |
| 2020 |
72 |
$1K |
| 2021 |
94 |
$1K |
| 2022 |
32 |
$636.15 |
| 2023 |
12 |
$328.38 |
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 |
479 |
441 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$209.84 |
| 90756 |
|
12 |
12 |
$21.82 |
| 1125F |
|
67 |
65 |
$0.00 |
| 1170F |
|
27 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |