GALLISTEL, LAURA
NPI: 1013997121
· DE PERE, WI 54115
· Pediatrics Physician
· NPI assigned 01/17/2006
$740.36
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$740.36 |
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 |
16 |
14 |
$620.36 |
| 3008F |
|
12 |
12 |
$120.00 |