ELLIS, KATHERINE
NPI: 1043706393
· SUMMERVILLE, SC 29486
· Pediatric Nurse Practitioner
· NPI assigned 07/10/2018
$180.98
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
32 |
$180.98 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$180.98 |
| 90686 |
|
15 |
15 |
$0.00 |