MEA PRIMARY CARE PLUS LLC
NPI: 1821533852
· JACKSON, MS 39204
· Family Medicine Physician
· NPI assigned 12/29/2016
$458.40
Total Medicaid Paid
Provider Details
| Authorized Official | WHITLEY, WAYNE (CEO) |
| NPI Enumeration Date | 12/29/2016 |
Related Entities
Other providers sharing the same authorized official: WHITLEY, WAYNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
516 |
$458.40 |
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 |
107 |
54 |
$256.20 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
54 |
$138.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
214 |
50 |
$43.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
21 |
$20.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
14 |
$0.00 |