INTERNAL MEDICINE & PEDIATRICS WELLNESS CENTER
NPI: 1992825145
· CRYSTAL RIVER, FL 34429
· Pediatrics Physician
· NPI assigned 03/30/2007
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, CARLENE (OWNER/PHYSICIAN) |
| NPI Enumeration Date | 03/30/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
402 |
$18K |
| 2020 |
254 |
$11K |
| 2021 |
695 |
$35K |
| 2022 |
539 |
$30K |
| 2023 |
263 |
$8K |
| 2024 |
219 |
$5K |
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 |
1,188 |
1,001 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,104 |
919 |
$42K |
| 0012A |
|
19 |
14 |
$0.00 |
| 0011A |
|
18 |
13 |
$0.00 |
| 91301 |
|
43 |
32 |
$0.00 |