PRIMARY CARE OF BONNE TERRE LLC
NPI: 1962883751
· BONNE TERRE, MO 63628
· Primary Care Clinic/Center
· NPI assigned 06/17/2015
$190K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,742 |
$40K |
| 2019 |
489 |
$16K |
| 2020 |
407 |
$12K |
| 2021 |
668 |
$21K |
| 2022 |
651 |
$31K |
| 2023 |
714 |
$43K |
| 2024 |
591 |
$27K |
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 |
3,717 |
3,017 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,442 |
1,091 |
$35K |
| 3008F |
|
73 |
70 |
$0.00 |
| 3074F |
|
15 |
14 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |