ELIZABETH PEDIATRIC GROUP, LLC
NPI: 1104031939
· ELIZABETH, NJ 07208
· Pediatrics Physician
· NPI assigned 05/14/2007
Provider Details
| Authorized Official | DAVIS, KENNETH (OWNER) |
| NPI Enumeration Date | 05/14/2007 |
Related Entities
Other providers sharing the same authorized official: DAVIS, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
994 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
352 |
326 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
223 |
165 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
54 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$1K |
| 90461 |
|
27 |
27 |
$350.00 |
| 86580 |
|
16 |
16 |
$70.40 |
| 81003 |
|
155 |
151 |
$5.02 |
| 3008F |
|
112 |
112 |
$0.00 |