VITALITY PLUS UROLOGY, LLC
NPI: 1790484194
· MOUNTAIN HOME, AR 72653
· Urology Physician
· NPI assigned 02/24/2023
$436.26
Total Medicaid Paid
Provider Details
| Authorized Official | DECKER, DANIEL (OPERATING MANAGER) |
| NPI Enumeration Date | 02/24/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
32 |
$5.00 |
| 2024 |
131 |
$431.26 |
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 |
12 |
12 |
$205.42 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
29 |
$167.98 |
| 51798 |
|
49 |
48 |
$47.47 |
| 81003 |
|
73 |
65 |
$15.39 |