NPI: 1154330165 · BARTOW, FL 33830 · Pediatrics Physician · NPI assigned 08/07/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 778 | $19K |
| 2020 | 83 | $811.03 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 195 | 190 | $7K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 108 | 96 | $5K |
| 97802 | 94 | 92 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 300 | 280 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13 | 13 | $1K |
| 90700 | 108 | 96 | $120.00 | |
| 90715 | 22 | 22 | $30.00 | |
| 90461 | 21 | 18 | $0.00 |