FAMILY CLINIC
NPI: 1871629832
· CASPER, WY 82601
· Family Medicine Physician
· NPI assigned 02/26/2007
Provider Details
| Authorized Official | IDEEN, DANA (MANAGING MEMBER) |
| NPI Enumeration Date | 02/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
292 |
$9K |
| 2019 |
311 |
$11K |
| 2020 |
164 |
$6K |
| 2021 |
136 |
$4K |
| 2022 |
232 |
$7K |
| 2023 |
205 |
$6K |
| 2024 |
121 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,433 |
1,162 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$784.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
13 |
$462.00 |