MCCOMB SKIN CLINIC PA
NPI: 1740448653
· MCCOMB, MS 39648
· Dermatology Physician
· NPI assigned 05/28/2008
$517.50
Total Medicaid Paid
Provider Details
| Authorized Official | BROCK, LINDA (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 05/28/2008 |
Related Entities
Other providers sharing the same authorized official: BROCK, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
30 |
$517.50 |
| 2019 |
41 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$436.49 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$81.01 |