NPI: 1134108228 · LAKEWOOD, OH 44107 · Pediatrics Physician · NPI assigned 01/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 120 | $3K |
| 2021 | 57 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49 | 49 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 52 | 44 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14 | 14 | $839.84 |
| 90686 | 13 | 13 | $267.28 | |
| 99173 | 28 | 28 | $67.94 | |
| 90461 | 21 | 14 | $5.00 |