SUN 'N LAKE MEDICAL GROUP,PA
NPI: 1144400540
· LAKE PLACID, FL 33852
· Rural Health Clinic/Center
· NPI assigned 11/14/2007
Provider Details
| Authorized Official | CAMILO, RAISA (OWNER) |
| NPI Enumeration Date | 11/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
92 |
$3K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
36 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$974.31 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$631.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$120.00 |
| 97802 |
|
14 |
12 |
$57.50 |