ROXBOROUGH MEDICAL OF ANDORRA LLC
NPI: 1134511157
· PHILADELPHIA, PA 19128
· Emergency Medicine Physician
· NPI assigned 02/27/2015
$262K
Total Medicaid Paid
3,147
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
292 |
$26K |
| 2021 |
1,270 |
$104K |
| 2022 |
432 |
$35K |
| 2023 |
665 |
$43K |
| 2024 |
660 |
$55K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| S9083 |
Global fee urgent care centers |
3,254 |
3,090 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
42 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$788.62 |