LEVY, SUSAN
NPI: 1003817883
· SAN FERNANDO, CA 91340
· Pediatrics Physician
· NPI assigned 08/03/2005
$708.19
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
122 |
$708.19 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$444.24 |
| 92551 |
|
17 |
17 |
$171.70 |
| 85018 |
|
45 |
45 |
$92.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |