RENEW MEDICAL CLINIC LLC
NPI: 1811234032
· FARGO, ND 58103
· Pain Medicine (Anesthesiology) Physician
· NPI assigned 01/08/2013
$807.03
Total Medicaid Paid
Provider Details
| Authorized Official | HANSON, DAVID (OWNER) |
| NPI Enumeration Date | 01/08/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13 |
$807.03 |
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 |
13 |
12 |
$807.03 |