VITAL HEALTH LLC
NPI: 1003551052
· MAUMEE, OH 43537
· Family Medicine Physician
· NPI assigned 05/04/2022
$915.95
Total Medicaid Paid
Provider Details
| Authorized Official | SPELLIS-FREYRE, NICOLE (AUTHORIZED OFFICIAL) |
| Parent Organization | VITAL HEALTH LLC |
| NPI Enumeration Date | 05/04/2022 |
Related Entities
Other providers sharing the same authorized official: SPELLIS-FREYRE, NICOLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
15 |
$915.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
15 |
13 |
$915.95 |