BUCK JACK, LLC DBA THE SHANDY CLINIC
NPI: 1891443370
· PUEBLO, CO 81005
· 225100000X
$679K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
755 |
$162K |
| 2023 |
1,532 |
$364K |
| 2024 |
561 |
$153K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
|
2,184 |
213 |
$572K |
| 97155 |
|
664 |
183 |
$108K |