MISHAWAKA CLINIC, P.C.
NPI: 1972776938
· MISHAWAKA, IN 46544
· Family Medicine Physician
· NPI assigned 04/10/2008
$987.48
Total Medicaid Paid
Provider Details
| Authorized Official | REIDY, JAMES (PRESIDENT) |
| NPI Enumeration Date | 04/10/2008 |
Related Entities
Other providers sharing the same authorized official: REIDY, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$987.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
24 |
$987.48 |