SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
NPI: 1861925042
· WILMINGTON, DE 19805
· Primary Care Clinic/Center
· NPI assigned 04/05/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KABA, EPHRAIM (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 04/05/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
50 |
45 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
12 |
$0.00 |