NPI: 1982293718 · MIDDLEBURG, FL 32068 · Mental Health Counselor · NPI assigned 01/15/2021
| Authorized Official | PULLURU, SOUJANYA (OWNER) |
| NPI Enumeration Date | 01/15/2021 |
Other providers sharing the same authorized official: PULLURU, SOUJANYA
| Provider | City | State | Total Paid |
|---|---|---|---|
| MC MEDICAL LLC | DALLAS | GA | $7K |
| MC MEDICAL LLC | JACKSONVILLE | FL | $653.82 |
| MC MEDICAL LLC | KISSIMMEE | FL | $624.93 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 64 | $1K |
| 2024 | 19 | $353.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 83 | 67 | $2K |