INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC
NPI: 1134880487
· VERO BEACH, FL 32960
· Anesthesiology Physician
· NPI assigned 01/07/2022
$965.63
Total Medicaid Paid
Provider Details
| Authorized Official | SHUDRA, PHAEDRA (CREDENTIALING & CONTRACTING SPEC) |
| NPI Enumeration Date | 01/07/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
390 |
$169.60 |
| 2024 |
451 |
$796.03 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
841 |
770 |
$965.63 |