CASA RUBEN INCORPORATED
NPI: 1083332431
· SILVER SPRING, MD 20903
· Pediatric Adolescent Medicine Physician
· NPI assigned 08/19/2022
$136K
Total Medicaid Paid
1,248
Beneficiary Records
Provider Details
| Authorized Official | PERALTA, LIGIA (PRESIDENT AND CEO) |
| NPI Enumeration Date | 08/19/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
518 |
$6K |
| 2024 |
1,281 |
$129K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
819 |
504 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
640 |
435 |
$44K |
| 99215 |
Prolong outpt/office vis |
47 |
46 |
$8K |
| 92551 |
|
83 |
76 |
$699.84 |
| 96127 |
|
56 |
42 |
$197.82 |
| 99173 |
|
79 |
75 |
$137.80 |
| 96160 |
|
23 |
22 |
$11.08 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
30 |
$0.00 |
| 99188 |
|
21 |
18 |
$0.00 |