KIDMED INC.
NPI: 1174042022
· STAFFORD, VA 22556
· Urgent Care Clinic/Center
· NPI assigned 09/12/2017
$82.87
Total Medicaid Paid
Provider Details
| Authorized Official | FLANZENBAUM, MARK (PRESIDENT) |
| Parent Organization | KIDMED INC. |
| NPI Enumeration Date | 09/12/2017 |
Related Entities
Other providers sharing the same authorized official: FLANZENBAUM, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$82.87 |
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 |
17 |
16 |
$82.87 |