PEDIATRIC ASSOCIATES PROF LLC
NPI: 1033614334
· MONTROSE, CO 81401
· Pediatric Adolescent Medicine Physician
· NPI assigned 03/28/2018
Provider Details
| Authorized Official | HICKERT, AMBER (PRACTICE ADMINISTRATOR) |
| Parent Organization | PEDIATRIC ASSOCIATES PROF LLC |
| NPI Enumeration Date | 03/28/2018 |
Related Entities
Other providers sharing the same authorized official: HICKERT, AMBER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
162 |
$5K |
| 2019 |
252 |
$10K |
| 2020 |
73 |
$3K |
| 2021 |
81 |
$5K |
| 2022 |
44 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
209 |
$21K |
| 92551 |
|
188 |
185 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
134 |
134 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$503.68 |
| 99173 |
|
51 |
50 |
$486.67 |