SIOUX CITY ALLERGY & ASTHMA ASSOCIATES, PC
NPI: 1881746105
· SIOUX CITY, IA 51106
· Allergy & Immunology Physician
· NPI assigned 01/17/2007
$170K
Total Medicaid Paid
Provider Details
| Authorized Official | HAREN, SANDY (OFFICE MANAGER) |
| NPI Enumeration Date | 01/17/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
960 |
$58K |
| 2019 |
1,291 |
$75K |
| 2020 |
647 |
$35K |
| 2021 |
51 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
515 |
492 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
504 |
488 |
$51K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
274 |
253 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
569 |
546 |
$21K |
| 95117 |
|
1,073 |
557 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$669.96 |