MC MEDICAL LLC
NPI: 1942978242
· KISSIMMEE, FL 34759
· Psychologist
· NPI assigned 09/01/2021
$624.93
Total Medicaid Paid
Provider Details
| Authorized Official | PULLURU, SOUJANYA (OWNER- MC MEDICAL LLC) |
| NPI Enumeration Date | 09/01/2021 |
Related Entities
Other providers sharing the same authorized official: PULLURU, SOUJANYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
19 |
$624.93 |
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 |
19 |
15 |
$624.93 |