NPI: 1174240352 · WEST DEPTFORD, NJ 08086 · Specialist · NPI assigned 10/27/2022
| Authorized Official | RICCA, AMANDA (ADMINISTRATOR) |
| NPI Enumeration Date | 10/27/2022 |
Other providers sharing the same authorized official: RICCA, AMANDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| FORT WASHINGTON SURGERY CENTER, LLC | FORT WASHINGTON | PA | $403K |
| COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS , LLC | WILKES BARRE | PA | $84K |
| PAIN CENTER OF WYOMING VALLEY, LLC | WILKES BARRE | PA | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 16 | $217.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 16 | 13 | $217.98 |