WASHINGTON REGIONAL MEDICAL SYSTEM
NPI: 1760432629
· FAYETTEVILLE, AR 72703
· Obstetrics & Gynecology Physician
· NPI assigned 05/11/2006
$825.00
Total Medicaid Paid
Provider Details
| Authorized Official | WILEY, LARRY (EXECUTIVE DIRECTOR, SYSTEMS CLINICS) |
| NPI Enumeration Date | 05/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$825.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
24 |
$825.00 |