MANCHESTER CARE CLINIC LLC
NPI: 1770154429
· MANCHESTER, TN 37355
· Family Medicine Physician
· NPI assigned 07/04/2021
Provider Details
| Authorized Official | SELVAGE, DAWN (FAMILY NURSE PRACTITIONER) |
| NPI Enumeration Date | 07/04/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
462 |
$16K |
| 2023 |
216 |
$7K |
| 2024 |
27 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
505 |
379 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
128 |
87 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
25 |
$550.08 |