TIDEWATER DOCTORS LLC
NPI: 1992474654
· CHARLESTON, SC 29414
· Internal Medicine Physician
· NPI assigned 09/07/2021
Provider Details
| Authorized Official | HURLEY, ANDREA (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 09/07/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
579 |
$21K |
| 2023 |
474 |
$24K |
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 |
988 |
787 |
$44K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$391.59 |
| 3078F |
|
14 |
12 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
35 |
30 |
$0.00 |