PEDIATRICS 5280, PC
NPI: 1134545395
· CASTLE ROCK, CO 80109
· Pediatrics Physician
· NPI assigned 03/12/2014
$817.92
Total Medicaid Paid
Provider Details
| Authorized Official | RIPPERTON, MIKE (ADMINISTRATOR) |
| NPI Enumeration Date | 03/12/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$817.92 |
| 2024 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$817.92 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
13 |
12 |
$0.00 |