LA CLINICA DEL PUEBLO, INC
NPI: 1194176834
· HYATTSVILLE, MD 20782
· Clinic/Center
· NPI assigned 06/23/2016
$879.75
Total Medicaid Paid
Provider Details
| Authorized Official | ACUNA, MICAELA (PATIENT REVENUE MANAGER) |
| Parent Organization | LA CLINICA DEL PUEBLO |
| NPI Enumeration Date | 06/23/2016 |
Related Entities
Other providers sharing the same authorized official: ACUNA, MICAELA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
50 |
$267.75 |
| 2021 |
12 |
$612.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
62 |
39 |
$879.75 |