FAME ALLERGY, PC
NPI: 1962862672
· SALEM, VA 24153
· Allergy Physician
· NPI assigned 02/24/2016
$125K
Total Medicaid Paid
Provider Details
| Authorized Official | FAME, THOMAS (OWNER) |
| NPI Enumeration Date | 02/24/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
932 |
$15K |
| 2020 |
816 |
$12K |
| 2021 |
893 |
$30K |
| 2022 |
911 |
$25K |
| 2023 |
1,213 |
$43K |
| 2024 |
59 |
$535.21 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
434 |
397 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
335 |
309 |
$32K |
| 95117 |
|
3,795 |
1,494 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
231 |
211 |
$17K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
16 |
15 |
$3K |
| 94010 |
|
13 |
13 |
$292.53 |