SOUTHSIDE MEDICAL CENTER PA
NPI: 1972782019
· GREENVILLE, SC 29615
· Clinic/Center
· NPI assigned 10/25/2007
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | JOUDEH, THAER (OWNER) |
| NPI Enumeration Date | 10/25/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
316 |
$23K |
| 2019 |
303 |
$24K |
| 2020 |
270 |
$22K |
| 2021 |
334 |
$26K |
| 2022 |
402 |
$29K |
| 2023 |
479 |
$26K |
| 2024 |
312 |
$21K |
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 |
2,029 |
1,704 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
203 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
31 |
29 |
$1K |
| 80305 |
|
81 |
76 |
$624.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
15 |
$317.32 |