MOUNTAIN GROVE MEDICAL AND LASER CENTER INC
NPI: 1972573699
· MOUNTAIN GROVE, MO 65711
· General Practice Physician
· NPI assigned 01/25/2006
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | HILL, DOYLE (PRESIDENT) |
| NPI Enumeration Date | 01/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,105 |
$77K |
| 2019 |
466 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,017 |
1,614 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
510 |
456 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
29 |
$755.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |