ABBOTT, LARA
NPI: 1053312868
· SAN FERNANDO, CA 91340
· Pediatrics Physician
· NPI assigned 08/02/2005
$553.01
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
101 |
$553.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$481.26 |
| 85018 |
|
39 |
39 |
$71.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |