SOLANO CENTER OF EXCELLENCE MEDICAL CORP
NPI: 1194103796
· VALLEJO, CA 94589
· Family Medicine Physician
· NPI assigned 05/14/2015
$80.13
Total Medicaid Paid
Provider Details
| Authorized Official | ATALIG, KAYNITA (PRACTICE MANAGER) |
| NPI Enumeration Date | 05/14/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
14 |
$22.67 |
| 2022 |
13 |
$57.46 |
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 |
13 |
12 |
$57.46 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$22.67 |