VIA AFFILIATES
NPI: 1093380982
· DOYLESTOWN, PA 18901
· Obstetrics & Gynecology Physician
· NPI assigned 05/24/2021
$31.91
Total Medicaid Paid
Provider Details
| Authorized Official | COSTELLO, MATT (SENIOR EXECUTIVE - DIRECTOR OF HOSP) |
| NPI Enumeration Date | 05/24/2021 |
Related Entities
Other providers sharing the same authorized official: COSTELLO, MATT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
13 |
$31.91 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81002 |
|
13 |
12 |
$31.91 |