FOOT AND ANKLE CARE OF PASSAIC LLC
NPI: 1114089679
· PASSAIC, NJ 07055
· 213ES0103X
$881.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$102.12 |
| 2021 |
39 |
$78.00 |
| 2022 |
141 |
$700.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99304 |
|
33 |
26 |
$474.75 |
| 11720 |
|
138 |
128 |
$208.00 |
| 99307 |
|
21 |
18 |
$198.25 |