417 SPORTS MEDICINE AND ORTHOPEDICS LLC
NPI: 1871105312
· SPRINGFIELD, MO 65807
· Sports Medicine (Family Medicine) Physician
· NPI assigned 08/17/2020
Provider Details
| Authorized Official | GIFFORD, ERIC (PHYSICIAN) |
| NPI Enumeration Date | 08/17/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
18 |
$360.12 |
| 2022 |
191 |
$5K |
| 2023 |
18 |
$104.61 |
| 2024 |
26 |
$2K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
155 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
38 |
$1K |