843 WILBUR AVENUE OPERATIONS LLC
NPI: 1013191311
· PHILLIPSBURG, NJ 08865
· 314000000X
$36.65
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
130 |
$36.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q3014 |
Telehealth facility fee |
77 |
63 |
$36.65 |
| 90662 |
|
18 |
18 |
$0.00 |
| 87426 |
|
17 |
17 |
$0.00 |
| G0008 |
Admin influenza virus vac |
18 |
18 |
$0.00 |