IMMOKALEE FAMILY DOCTOR'S CLINIC, LLC
NPI: 1801157839
· IMMOKALEE, FL 34142
· General Practice Physician
· NPI assigned 06/06/2012
$130K
Total Medicaid Paid
Provider Details
| Authorized Official | KEPPEL, ANDREA (OFFICE MANAGER) |
| NPI Enumeration Date | 06/06/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,357 |
$48K |
| 2020 |
794 |
$27K |
| 2021 |
926 |
$11K |
| 2022 |
639 |
$11K |
| 2023 |
642 |
$21K |
| 2024 |
367 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,602 |
3,637 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
63 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
26 |
$792.28 |