EAST SACRAMENTO PEDIATRIC MEDICAL GROUP INC
NPI: 1093353195
· SACRAMENTO, CA 95819
· Pediatrics Physician
· NPI assigned 12/19/2019
$215.00
Total Medicaid Paid
Provider Details
| Authorized Official | KHAIRA, RAVINDER (OWNER/PHYSICIAN) |
| NPI Enumeration Date | 12/19/2019 |
Related Entities
Other providers sharing the same authorized official: KHAIRA, RAVINDER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
28 |
$215.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
14 |
14 |
$116.00 |
| 96156 |
|
14 |
13 |
$99.00 |