WELLMONT MEDICAL ASSOCIATES, INC.
NPI: 1740863968
· JOHNSON CITY, TN 37604
· Physiological Laboratory
· NPI assigned 05/05/2021
$56.37
Total Medicaid Paid
Provider Details
| Authorized Official | KRUTAK, MARY (EVP/CFO) |
| NPI Enumeration Date | 05/05/2021 |
Related Entities
Other providers sharing the same authorized official: KRUTAK, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
53 |
$56.37 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
53 |
44 |
$56.37 |