NPI: 1073580320 · LARKSPUR, CA 94939 · Pediatrics Physician · NPI assigned 03/07/2006
| Authorized Official | BRANCO, NELSON (CORPORATE PRESIDENT) |
| NPI Enumeration Date | 03/07/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 188 | $2K |
| 2019 | 203 | $1K |
| 2020 | 99 | $894.74 |
| 2021 | 121 | $3K |
| 2022 | 151 | $3K |
| 2023 | 201 | $2K |
| 2024 | 66 | $302.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 331 | 274 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 48 | 40 | $2K |
| 90686 | 255 | 248 | $2K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 336 | 293 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18 | 18 | $966.00 |
| 90480 | 12 | 12 | $480.00 | |
| 90656 | 14 | 14 | $117.00 | |
| 92551 | 15 | 13 | $0.00 |