OLYMPUS LLC
NPI: 1083456875
· LAS VEGAS, NV 89103
· General Practice Physician
· NPI assigned 06/11/2024
$180K
Total Medicaid Paid
Provider Details
| Authorized Official | MAYTA, JESSICA (MANAGER) |
| NPI Enumeration Date | 06/11/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,639 |
$180K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90868 |
|
859 |
136 |
$129K |
| 90876 |
|
393 |
75 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
387 |
73 |
$14K |