LAKESIDE ANESTHESIA GROUP LLC
NPI: 1043063068
· JACKSONVILLE, FL 32256
· Anesthesiology Physician
· NPI assigned 04/09/2024
$209K
Total Medicaid Paid
Provider Details
| Authorized Official | WEAVER, ANDREW (MANAGER) |
| NPI Enumeration Date | 04/09/2024 |
Related Entities
Other providers sharing the same authorized official: WEAVER, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
2,347 |
$209K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
2,347 |
1,164 |
$209K |