PUNNAMMA MEMORIAL REHAB CLINIC
NPI: 1861549941
· VIENNA, WV 26105
· Internal Medicine Physician
· NPI assigned 01/04/2007
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | KALAPALA, SANDYA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/04/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,062 |
$52K |
| 2019 |
294 |
$14K |
| 2020 |
698 |
$34K |
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 |
1,644 |
1,462 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
276 |
$22K |
| 99406 |
|
126 |
122 |
$1K |