WATERCREST ACQUISITION I LLC
NPI: 1104269141
· NORTH MIAMI BEACH, FL 33160
· 314000000X
$149K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
73 |
$809.58 |
| 2019 |
1,045 |
$28K |
| 2020 |
1,437 |
$115K |
| 2021 |
965 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
1,493 |
146 |
$61K |
| 97530 |
|
1,122 |
111 |
$44K |
| 97112 |
|
873 |
120 |
$43K |
| 90660 |
|
16 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
12 |
$0.00 |