MID-STATE HEALTH CENTER
NPI: 1912166083
· BRISTOL, NH 03222
· Family Medicine Physician
· NPI assigned 06/04/2008
Provider Details
Related Entities
Other providers sharing the same authorized official: MACLEOD, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
289 |
$2K |
| 2020 |
282 |
$2K |
| 2021 |
203 |
$2K |
| 2022 |
44 |
$2K |
| 2023 |
518 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64 |
60 |
$10K |
| 80305 |
|
694 |
519 |
$6K |
| 87428 |
|
30 |
30 |
$2K |
| 80053 |
Comprehensive metabolic panel |
168 |
158 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
163 |
153 |
$967.41 |
| 80061 |
Lipid panel |
46 |
46 |
$462.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
48 |
44 |
$308.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
31 |
$206.88 |
| 90686 |
|
46 |
31 |
$16.01 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$0.00 |