BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
NPI: 1770203754
· MOUNTAIN CITY, TN 37683
· Pulmonary Disease Physician
· NPI assigned 08/31/2022
$114.88
Total Medicaid Paid
Provider Details
| Authorized Official | TARTE, PATRICIA (ENROLLMENT SUPERVISOR) |
| NPI Enumeration Date | 08/31/2022 |
Related Entities
Other providers sharing the same authorized official: TARTE, PATRICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
15 |
$114.88 |
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 |
15 |
12 |
$114.88 |