NY PRIMARY CARE PRACTICE PC
NPI: 1104276252
· ORCHARD PARK, NY 14127
· Allergy & Immunology Physician
· NPI assigned 06/20/2016
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | SCIOLINO, TRACY (MANAGER) |
| NPI Enumeration Date | 06/20/2016 |
Related Entities
Other providers sharing the same authorized official: SCIOLINO, TRACY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
468 |
$43K |
| 2023 |
1,289 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
222 |
69 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
218 |
218 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
282 |
$24K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
190 |
188 |
$15K |
| 95117 |
|
839 |
389 |
$7K |