CAPE GIRARDEAU SURGICAL CLINIC, INC.
NPI: 1821045535
· CAPE GIRARDEAU, MO 63703
· Surgery Physician
· NPI assigned 05/28/2006
$392.02
Total Medicaid Paid
Provider Details
| Authorized Official | HOLT, SARAH (ADMINISTRATOR) |
| NPI Enumeration Date | 05/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
14 |
$392.02 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$392.02 |