TABLE ROCK FAMILY CARE CLINIC, LLC
NPI: 1952934937
· BRANSON, MO 65616
· Family Medicine Physician
· NPI assigned 02/18/2020
$192K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,360 |
$14K |
| 2021 |
794 |
$21K |
| 2022 |
1,213 |
$49K |
| 2023 |
1,340 |
$69K |
| 2024 |
710 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,111 |
2,341 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,262 |
1,676 |
$76K |
| 90670 |
|
12 |
12 |
$65.11 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$16.18 |
| 90686 |
|
18 |
18 |
$0.15 |