FAMILY STATCARE OF NORTHEAST OHIO, LLC
NPI: 1053565986
· WADSWORTH, OH 44281
· Physician Assistant
· NPI assigned 11/05/2008
$342K
Total Medicaid Paid
Provider Details
| Authorized Official | FILBERT, KEN (OWNER) |
| NPI Enumeration Date | 11/05/2008 |
Related Entities
Other providers sharing the same authorized official: FILBERT, KEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,392 |
$149K |
| 2019 |
4,201 |
$148K |
| 2020 |
1,396 |
$42K |
| 2021 |
190 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,151 |
3,020 |
$194K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,107 |
1,085 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,069 |
1,045 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
998 |
960 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
391 |
190 |
$2K |
| 81002 |
|
101 |
99 |
$206.97 |
| 94760 |
|
3,362 |
3,220 |
$1.57 |