SOUTHERN MEDICAL CLINIC LLC
NPI: 1801908157
· EAST POINT, GA 30344
· Internal Medicine Physician
· NPI assigned 08/31/2006
$118K
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, CHIRAG (PRESIDENT) |
| NPI Enumeration Date | 08/31/2006 |
Related Entities
Other providers sharing the same authorized official: PATEL, CHIRAG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
531 |
$14K |
| 2019 |
594 |
$12K |
| 2020 |
367 |
$14K |
| 2021 |
749 |
$24K |
| 2022 |
626 |
$25K |
| 2023 |
682 |
$19K |
| 2024 |
232 |
$9K |
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 |
2,290 |
1,979 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,367 |
1,129 |
$54K |
| 99490 |
Ccm add 20min |
39 |
39 |
$126.55 |
| 0011A |
|
12 |
12 |
$30.00 |
| 91301 |
|
45 |
43 |
$0.04 |
| 90756 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |