SOUTHERN INTERNAL MEDICINE PLLC
NPI: 1912188624
· LAKE CITY, FL 32055
· 207R00000X
$196.21
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
581 |
$196.21 |
| 2019 |
42 |
$0.00 |
| 2020 |
20 |
$0.00 |
| 2021 |
160 |
$0.00 |
| 2023 |
251 |
$0.00 |
| 2024 |
15 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
185 |
136 |
$122.38 |
| 99213 |
|
253 |
146 |
$73.83 |
| 80061 |
|
29 |
27 |
$0.00 |
| 80076 |
|
13 |
12 |
$0.00 |
| 36415 |
|
418 |
339 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
12 |
$0.00 |
| 80048 |
|
84 |
70 |
$0.00 |
| 85025 |
|
62 |
57 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |