NPI: 1164491585 · PASSAIC, NJ 07055 · Pediatrics Physician · NPI assigned 03/16/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 147 | $1K |
| 2024 | 2,747 | $80K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 967 | 942 | $19K |
| 90671 | 206 | 202 | $18K | |
| 90619 | 128 | 126 | $13K | |
| 90697 | 126 | 122 | $11K | |
| 90620 | 105 | 105 | $6K | |
| 90461 | 452 | 435 | $5K | |
| 90710 | 59 | 59 | $3K | |
| 90651 | 121 | 117 | $3K | |
| 90716 | 100 | 98 | $1K | |
| 90633 | 207 | 206 | $700.40 | |
| 90696 | 36 | 36 | $677.81 | |
| 90715 | 35 | 35 | $446.53 | |
| 90707 | 28 | 27 | $184.98 | |
| 90686 | 194 | 189 | $65.37 | |
| 90700 | 26 | 26 | $58.62 | |
| 90680 | 19 | 18 | $0.00 | |
| 90681 | 85 | 85 | $0.00 |