INDEPENDENCE FAMILY CLINIC LLC
NPI: 1922876960
· INDEPENDENCE, LA 70443
· Rural Health Clinic/Center
· NPI assigned 12/19/2023
$661.58
Total Medicaid Paid
Provider Details
| Authorized Official | TATE, BRYAN (MANAGER) |
| NPI Enumeration Date | 12/19/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
44 |
$661.58 |
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 |
44 |
37 |
$661.58 |