THE COMMONWEALTH OF MASSACHUSETTS
NPI: 1174699458
· JAMAICA PLAIN, MA 02130
· Primary Care Clinic/Center
· NPI assigned 11/28/2006
$639.60
Total Medicaid Paid
Provider Details
| Authorized Official | LIPTAK, VALENDA (BUREAU DIRECTOR, PUBLIC HEALTH HOSP) |
| Parent Organization | THE COMMONWEALTH OF MASSACHUSETTS |
| NPI Enumeration Date | 11/28/2006 |
Related Entities
Other providers sharing the same authorized official: LIPTAK, VALENDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$639.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$639.60 |