SANDUSKY MEDICAL & PAIN CLINIC
NPI: 1902080310
· SANDUSKY, OH 44870
· Family Medicine Physician
· NPI assigned 12/20/2007
$167K
Total Medicaid Paid
Provider Details
| Authorized Official | AL-TURK, ISSAM (OWNER) |
| NPI Enumeration Date | 12/20/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,688 |
$67K |
| 2019 |
1,186 |
$51K |
| 2020 |
681 |
$32K |
| 2021 |
368 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,475 |
1,909 |
$152K |
| 99406 |
|
1,218 |
903 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
95 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
121 |
$1K |