LODI MEMORIAL HOSPITAL ASSOCIATION, INC
NPI: 1982860995
· STOCKTON, CA 95219
· Primary Care Clinic/Center
· NPI assigned 07/30/2008
Provider Details
| Authorized Official | WHITNEY, JASON (FINANCE OFFICER) |
| Parent Organization | LODI MEMORIAL HOSPITAL ASSOCIATION, INC. |
| NPI Enumeration Date | 07/30/2008 |
Related Entities
Other providers sharing the same authorized official: WHITNEY, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,601 |
$35K |
| 2019 |
2,375 |
$6K |
| 2020 |
323 |
$674.76 |
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 |
1,730 |
1,649 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,603 |
2,451 |
$12K |
| 90715 |
|
164 |
163 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
457 |
449 |
$4K |
| 90688 |
|
128 |
127 |
$3K |
| 90686 |
|
27 |
27 |
$594.11 |
| 3074F |
|
62 |
61 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3078F |
|
73 |
71 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$0.00 |